Scott Richard Marrs, PH.D

Individual provider Active NPI Clinical Psychologist · Kirtland Afb, NM

NPI 1194797928 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1194797928
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
1527 (WA)
Practice address
2050 2ND St SE
Kirtland Afb, NM 87117-5524
Phone
(505) 846-2605
NPI assigned
Feb 6, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1527WAMDClinical Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1527 WA Yes

Addresses

Primary practice location

2050 2ND St SE
Kirtland Afb, NM 87117-5524

Mailing address

7155 Marseille PL NE
Albuquerque, NM 87122-3329
Phone (505) 828-0274

Other providers in Kirtland Afb, NM

All providers in Kirtland Afb, NM · Clinical Psychologist in New Mexico

Sources for this page

Verify at the official NPI Registry.