Provider Demographics
NPI:1790327328
Name:TOMEY, SCOTT STEPHEN (LLP)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:STEPHEN
Last Name:TOMEY
Suffix:
Gender:M
Credentials:LLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23332 FARMINGTON RD # 204
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48336-9991
Mailing Address - Country:US
Mailing Address - Phone:734-469-8705
Mailing Address - Fax:
Practice Address - Street 1:23332 FARMINGTON RD # 204
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:MI
Practice Address - Zip Code:48336-9991
Practice Address - Country:US
Practice Address - Phone:734-469-8705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-15
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301017990103TC0700X
103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical