Taylor Scruggs, EDS, NCSP
Individual provider Active NPI School Psychologist · Westwego, LA
NPI 1730895178 · NPPES record last updated Jan 30, 2023
Key facts
- NPI
- 1730895178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- License
- 1801176 (GA)
- Practice address
- 9525 Laurel Oak LN
Westwego, LA 70094-3175 - Phone
- (912) 515-5601
- NPI assigned
- Jan 30, 2023
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1801176 | GA | MD | School Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 1801176 | GA | Yes |
Addresses
Primary practice location
9525 Laurel Oak LN
Westwego, LA 70094-3175
Mailing address
9525 Laurel Oak LN
Westwego, LA 70094-3175
Phone (912) 515-5601
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All providers in Westwego, LA · School Psychologist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.