Organization · Type 2 NPI
Scott D Wylie, Psy.d., Mscp, LLC
Multi-Specialty Clinic/Center · Fort Collins, CO
NPI number
1629411319
Active
Practice location
113 Coronado Ct, Suite 202
Fort Collins, CO 80525-4911
Fax (970) 223-4433
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 2962 (CO) |
| Clinical Psychologist | 103TC0700X | 2962 (CO) |
| Prescribing (Medical) Psychologist | 103TP0016X | 2962 (CO) |
| Multi-Specialty Clinic/Center Primary | 261QM1300X | 2962 (CO) |
Multi-Specialty Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1629411319
Scott D Wylie, Psy.d., Mscp, LLC's National Provider Identifier is 1629411319, issued on Apr 11, 2013. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Fort Collins, CO. The record was last updated on Apr 7, 2018.