Provider Demographics
NPI:1669437505
Name:SCOTT, JUDITH A (PHD)
Entity type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:A
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 1:5044 SEQUOIA CT.
Mailing Address - Street 2:
Mailing Address - City:EXPORT
Mailing Address - State:PA
Mailing Address - Zip Code:15632-1504
Mailing Address - Country:US
Mailing Address - Phone:412-951-6421
Mailing Address - Fax:724-327-5958
Practice Address - Street 1:5044 SEQUOIA CT.
Practice Address - Street 2:
Practice Address - City:EXPORT
Practice Address - State:PA
Practice Address - Zip Code:15632-1504
Practice Address - Country:US
Practice Address - Phone:412-951-6421
Practice Address - Fax:724-327-5958
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS-001890-L103T00000X
PAPS001890L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist