Provider Demographics
NPI:1497844658
Name:TOMMEY, SCOTT BLAIR (PHD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:BLAIR
Last Name:TOMMEY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3435 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 2700-06
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90010-1901
Mailing Address - Country:US
Mailing Address - Phone:310-850-3366
Mailing Address - Fax:310-850-3366
Practice Address - Street 1:3435 WILSHIRE BLVD
Practice Address - Street 2:SUITE 2700-06
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90010-1901
Practice Address - Country:US
Practice Address - Phone:310-850-3366
Practice Address - Fax:310-850-3366
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2015-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 12179103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical