Scott Maynard, LMSW

NPI 1659395150 · on the registry since 2006

Practice

Address: 559 Vincent St
Attn: 21 Mdos/Sgoh--Mental Health
Peterson Afb, CO 80914
Phone: (719) 556-7804
Organisation at this address: 21st Medical Group
21st Medgrp-Peterson
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 77

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-03-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado