Provider Demographics
NPI:1003331679
Name:BRIGHAM S SCOTT
Entity type:Organization
Organization Name:BRIGHAM S SCOTT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRIGHAM
Authorized Official - Middle Name:S
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:402-540-2303
Mailing Address - Street 1:PO BOX 326
Mailing Address - Street 2:
Mailing Address - City:VALPARAISO
Mailing Address - State:NE
Mailing Address - Zip Code:68065-0326
Mailing Address - Country:US
Mailing Address - Phone:402-875-2433
Mailing Address - Fax:
Practice Address - Street 1:1530 S 70TH ST STE 102
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-1567
Practice Address - Country:US
Practice Address - Phone:402-540-2303
Practice Address - Fax:402-540-2303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-04
Last Update Date:2017-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty