Provider Demographics
NPI:1508142340
Name:SCOTT, KARYN E
Entity Type:Individual
Prefix:
First Name:KARYN
Middle Name:E
Last Name:SCOTT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7301 BROADWAY EXT
Mailing Address - Street 2:STE 101
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116-9045
Mailing Address - Country:US
Mailing Address - Phone:405-767-1126
Mailing Address - Fax:405-767-6285
Practice Address - Street 1:7301 BROADWAY EXT
Practice Address - Street 2:STE 101
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-9045
Practice Address - Country:US
Practice Address - Phone:405-767-1126
Practice Address - Fax:405-767-6285
Is Sole Proprietor?:No
Enumeration Date:2011-10-25
Last Update Date:2014-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor