Provider Demographics
NPI:1578903605
Name:SCOTT, ALYSSA R (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ALYSSA
Middle Name:R
Last Name:SCOTT
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4322 N BELT LINE RD STE B120
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-3543
Mailing Address - Country:US
Mailing Address - Phone:469-524-8480
Mailing Address - Fax:469-242-9942
Practice Address - Street 1:4322 N BELT LINE RD STE B120
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038-3543
Practice Address - Country:US
Practice Address - Phone:469-524-8480
Practice Address - Fax:469-242-9942
Is Sole Proprietor?:No
Enumeration Date:2013-07-03
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34977103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical