Provider Demographics
NPI:1013119338
Name:LITTLETON, SCOTT (MD,)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:
Last Name:LITTLETON
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY HEALTH SERVICE
Mailing Address - Street 2:830 SOUTH LIMESTONE STREET
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0582
Mailing Address - Country:US
Mailing Address - Phone:859-323-5511
Mailing Address - Fax:859-257-9816
Practice Address - Street 1:UNIVERSITY HEALTH SERVICE
Practice Address - Street 2:830 SOUTH LIMESTONE STREET
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0582
Practice Address - Country:US
Practice Address - Phone:859-323-5511
Practice Address - Fax:859-257-9816
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2012-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY248762084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry