Provider Demographics
NPI:1962532440
Name:SCOTT, BETTY JOANNE (MTS, MTH, LCMFT)
Entity type:Individual
Prefix:MRS
First Name:BETTY
Middle Name:JOANNE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MTS, MTH, LCMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20771 WOLFTRAP ST
Mailing Address - Street 2:PO BOX 1076
Mailing Address - City:LEXINGTON PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20653-2351
Mailing Address - Country:US
Mailing Address - Phone:301-994-2550
Mailing Address - Fax:
Practice Address - Street 1:21641 GREAT MILLS RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON PARK
Practice Address - State:MD
Practice Address - Zip Code:20653-1239
Practice Address - Country:US
Practice Address - Phone:301-863-9333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLCM160106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist