Provider Demographics
NPI:1154876472
Name:SCOTT, BRIGETT (PHD, RDN, LDN)
Entity type:Individual
Prefix:DR
First Name:BRIGETT
Middle Name:
Last Name:SCOTT
Suffix:
Gender:F
Credentials:PHD, RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 LIVE OAK DR
Mailing Address - Street 2:
Mailing Address - City:THIBODAUX
Mailing Address - State:LA
Mailing Address - Zip Code:70301-8809
Mailing Address - Country:US
Mailing Address - Phone:985-804-5859
Mailing Address - Fax:985-633-5142
Practice Address - Street 1:233 LIVE OAK DR
Practice Address - Street 2:
Practice Address - City:THIBODAUX
Practice Address - State:LA
Practice Address - Zip Code:70301-8809
Practice Address - Country:US
Practice Address - Phone:985-804-5859
Practice Address - Fax:985-633-5142
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-16
Last Update Date:2016-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1556133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered