Scott Devere Wylie in Fort Collins - Clinical Neuropsychologist
Scott Devere Wylie - NPI 1669497111
Scott Devere Wylie is a Clinical Neuropsychologist in Fort Collins, Colorado. Scott Devere Wylie practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Scott Devere Wylie is 1669497111. The last update date is 2018-04-07.
Scott Devere Wylie's current location address is 113 Coronado Ct, Fort Collins, Colorado. You can contact this provider via phone number 8886660974 and fax number 9702234433. The mailing address for Scott Devere Wylie is 113 Coronado Ct, Fort Collins, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Scott Devere Wylie |
|---|---|
| Address | 113 Coronado Ct, Fort Collins, Colorado |
| Phone Number | 8886660974 |
| Fax Number | 9702234433 |
| Sole Proprietor | N |
| Credentials | PSY.D., MS |
NPI Number Detail
| NPI Number | 1669497111 |
|---|---|
| Provider Enumeration Date | 2006-07-13 |
| Last Updated Date | 2018-04-07 |
Provider Mailing Address Detail
| Address | 113 Coronado Ct |
|---|---|
| City | Fort Collins |
| State | Colorado (CO) |
| Post Code | 805254911 |
| Phone Number | 8886660974 |
| Fax Number | 9702234433 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | 478 |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1629411319 | CO | TYPE 2 NPI | |
| 128459200 | WY | -- | |
| 1669497111 | CO | -- | |
| 462318597 | WY | TAX ID |
Post Comment/ Review Below
What is the unique identification code assigned to Scott Devere Wylie by the Centers for Medicare & Medicaid Services?
The Scott Devere Wylie has been issued the NPI (National Provider Identifier) 1669497111. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Scott Devere Wylie's facilities are situated?
The facilities of Scott Devere Wylie are physically located at the following address: 113 Coronado Ct, Fort Collins, CO, 805254911.
What is Scott Devere Wylie's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Scott Devere Wylie is Clinical Neuropsychologist, and the taxonomy code that categorizes this field of expertise is 103G00000X.
On what date was the 1669497111 assigned to Scott Devere Wylie?
The Scott Devere Wylie was issued its 1669497111 on 2006-07-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Scott Devere Wylie most recently updated?
The details pertaining to the Scott Devere Wylie, including its address, specialty, and other relevant information, were last refreshed on 2018-04-07.
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