Scott, Kim

Scott, Kim is an sole proprietor health care provider with primary practice located at 15643 Dobbs Peak Ln , Fontana CA 92336-4560. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Scott, Kim can be contacted via phone (951) 536-7845.

Contact Information

Primary practice address
15643 Dobbs Peak Ln Fontana CA 92336-4560
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1538-061511P California
Behavioral Health & Social Service Providers / School 101YS0200X 070104802 California

Profile Details

NPI number 1053639583
LBN Legal business name Scott, Kim
Credentials ED.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2010
Last updated May 7th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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