Provider Demographics
NPI:1336600808
Name:FITCH, SCOTT (MS)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:
Last Name:FITCH
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5702 S CAMPBELL AVE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85706-4413
Mailing Address - Country:US
Mailing Address - Phone:520-363-6851
Mailing Address - Fax:602-368-2730
Practice Address - Street 1:5702 S CAMPBELL AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85706-4413
Practice Address - Country:US
Practice Address - Phone:520-545-3600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-27
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician