Provider Demographics
NPI:1295882637
Name:SCOTT, ERIK (PHD)
Entity type:Individual
Prefix:DR
First Name:ERIK
Middle Name:
Last Name:SCOTT
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1731 BUNKER HILL RD NE
Mailing Address - Street 2:HSC PEDIATRIC CENTER PSYCHOLOGY DEPARTMENT
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20017-3026
Mailing Address - Country:US
Mailing Address - Phone:202-635-6195
Mailing Address - Fax:202-636-5389
Practice Address - Street 1:1731 BUNKER HILL RD NE
Practice Address - Street 2:HSC PEDIATRIC CENTER PSYCHOLOGY DEPARTMENT
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-3026
Practice Address - Country:US
Practice Address - Phone:202-635-6195
Practice Address - Fax:202-636-5389
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCPSY1000175103TC0700X
MD03688103TC0700X
VA0810003606103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical