Scott, Timothy

Scott, Timothy is an individual health care provider with primary practice located at 2127 County Road D E Ste A100 , Maplewood MN 55109-5350. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Scott, Timothy can be contacted via phone (651) 592-1592.

Contact Information

Primary practice address
2127 County Road D E Ste A100 Maplewood MN 55109-5350
Phone: (651) 592-1592
Fax: (651) 429-2988
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 8472 Minnesota

Profile Details

NPI number 1548304850
LBN Legal business name Scott, Timothy
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2007
Last updated Apr 5th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548304850 NPPES
Minnesota MEDICAID 1548304850

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