Provider Demographics
NPI:1447260971
Name:SCOTT, JANET ELAINE (PHD)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:ELAINE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1331 UNION AVE
Mailing Address - Street 2:SUITE 742
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38104
Mailing Address - Country:US
Mailing Address - Phone:901-722-8751
Mailing Address - Fax:901-844-1480
Practice Address - Street 1:1331 UNION AVE
Practice Address - Street 2:SUITE 742
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104
Practice Address - Country:US
Practice Address - Phone:901-722-8751
Practice Address - Fax:901-844-1480
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNCPT0000000044101Y00000X
TNLPC0000000012101Y00000X
OHE0001188101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor