Provider Demographics
NPI:1013050327
Name:SCOTT, LAURA M (PHD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:M
Last Name:SCOTT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6310 W 74TH ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66204-2035
Mailing Address - Country:US
Mailing Address - Phone:913-432-7642
Mailing Address - Fax:913-432-6514
Practice Address - Street 1:6310 W 74TH ST
Practice Address - Street 2:SUITE B
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66204-2035
Practice Address - Country:US
Practice Address - Phone:913-432-7642
Practice Address - Fax:913-432-6514
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS522103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS08929010OtherBCBS
KS0001404AMedicare ID - Type Unspecified