Provider Demographics
NPI:1538407986
Name:HARCOURT, SCOTT C (PHD)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:C
Last Name:HARCOURT
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5200 BABCOCK ST NE STE 304
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32905-4648
Mailing Address - Country:US
Mailing Address - Phone:321-209-2525
Mailing Address - Fax:321-914-0010
Practice Address - Street 1:5200 BABCOCK ST NE STE 304
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32905-4648
Practice Address - Country:US
Practice Address - Phone:321-209-2525
Practice Address - Fax:321-914-0010
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-18
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY11983103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist