Whalio Doctors

NPI 1669497111

Scott Devere Wylie, PSYDMSCP

Practitioner Clinical Neuropsychologist Fort Collins, CO

Practice location

Address
113 Coronado CT Suite 202, Fort Collins, CO 80525-4911
Phone
(888) 666-0974
Fax
(970) 223-4433
Mailing address
113 Coronado CT STE 202, Fort Collins, CO 80525-4911

Registered specialties (7)

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 2962 (CO)
Clinical Neuropsychologist
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 478 (WY)
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PSY18408 (CA)
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 478 (WY)
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 2962 (CO)
Forensic Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TF0200X Licence 2962 (CO)
Health Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TH0004X Licence 2962 (CO)

Registry record

NPI
1669497111
Entity type
Individual
Sex (as registered)
Male
NPI issued
13 Jul 2006
Record last updated
7 Apr 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.