Provider Demographics
NPI:1932149952
Name:BELL, SCOTT EDWARD
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:EDWARD
Last Name:BELL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1581 SADDLEHORN CIR
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:UT
Mailing Address - Zip Code:84025-5027
Mailing Address - Country:US
Mailing Address - Phone:801-939-4190
Mailing Address - Fax:
Practice Address - Street 1:4250 W 5415 S
Practice Address - Street 2:F1 3
Practice Address - City:KEARNS
Practice Address - State:UT
Practice Address - Zip Code:84118-4303
Practice Address - Country:US
Practice Address - Phone:801-969-4181
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5729896101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health