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Scott D Wylie, Psy.d., Mscp, Llc
Multi-Specialty Clinic/Center in Fort Collins, Colorado
NPI 1629411319

Scott D Wylie, Psy.d., Mscp, Llc is a Multi-Specialty Clinic/Center based in Fort Collins, CO and is specialized in Multi-Specialty. Scott D Wylie, Psy.d., Mscp, Llc practices in Fort Collins, CO. The NPI Number for Scott D Wylie, Psy.d., Mscp, Llc is 1629411319 and holds a License No. 2962 (Colorado).

The current practice location address for Scott D Wylie, Psy.d., Mscp, Llc is 113 Coronado Ct, Fort Collins, CO and can be reached out via phone at 888-666-0974 and via fax at 970-223-4433.

Location: 113 Coronado Ct, Fort Collins, CO, 80525-4911
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629411319
Provider Name
Scott D Wylie, Psy.d., Mscp, Llc
Credential
Provider Entity Type
Organization
Address
113 Coronado Ct, Fort Collins, CO, 80525-4911
Phone Number
888-666-0974
Fax Number
970-223-4433
Provider Enumeration Date
04/11/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1629411319 05 CO
135497300 05 WY
1669497111 01 CO INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
113 Coronado Ct
City
Fort Collins
State
Colorado
Zip
80525-4911
Phone Number
888-666-0974
Fax Number
970-223-4433
person
Provider Business Mailing Address Details
Address
113 Coronado Ct
City
Fort Collins
State
Colorado
Zip
80525-4911
Phone Number
888-666-0974
Fax Number
970-223-4433
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Clinical Neuropsychologist
Speciality
-
Taxonomy
103G00000X
License No.
2962 (Colorado)
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
2962 (Colorado)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
2962 (Colorado)
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
2962 (Colorado)
Definition
Definition to come...
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