Provider Demographics
NPI:1477175925
Name:SCOPE, CARY A
Entity Type:Individual
Prefix:
First Name:CARY
Middle Name:A
Last Name:SCOPE
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 1:6260 NW 110TH AVE
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33076-3734
Mailing Address - Country:US
Mailing Address - Phone:917-497-2623
Mailing Address - Fax:954-699-9182
Practice Address - Street 1:6260 NW 110TH AVE
Practice Address - Street 2:
Practice Address - City:PARKLAND
Practice Address - State:FL
Practice Address - Zip Code:33076-3734
Practice Address - Country:US
Practice Address - Phone:917-497-2623
Practice Address - Fax:954-699-9182
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-07
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL98591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical