Wylie, Scott A.

Wylie, Scott A. is an individual health care provider with primary practice located at 220 Abraham Flexner Way , Louisville KY 40202. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Wylie, Scott A. can be contacted via phone (502) 899-3626.

Contact Information

Primary practice address
220 Abraham Flexner Way Louisville KY 40202
Phone: (502) 899-3626
Fax: (502) 899-7970
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 0810003670 Virginia
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810003670 Virginia
Behavioral Health & Social Service Providers / Clinical 103TC0700X PHD3062 Tennessee
Behavioral Health & Social Service Providers / Clinical 103TC0700X 173223 Kentucky

Profile Details

NPI number 1700890571
LBN Legal business name Wylie, Scott A.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Dec 7th, 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 1700890571 NPPES
Virginia Other 0810003670 VA STATE LICENSE

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