Provider Demographics
NPI:1467754002
Name:SCOTT, NORRIS
Entity Type:Individual
Prefix:
First Name:NORRIS
Middle Name:
Last Name:SCOTT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 EAST 36 STREET NORTH SUITE A
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74106-1700
Mailing Address - Country:US
Mailing Address - Phone:918-949-4212
Mailing Address - Fax:918-949-4299
Practice Address - Street 1:1 WEST 36 STREET N
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74106-1700
Practice Address - Country:US
Practice Address - Phone:918-949-4212
Practice Address - Fax:918-949-4299
Is Sole Proprietor?:No
Enumeration Date:2010-12-02
Last Update Date:2015-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program