Scott Edward Foor, M.A.
Early Intervention Provider Agency in Laramie, WY. Individual provider (NPI-1).
NPI number1235782814
StatusActive
Last updated in NPPESJul 22, 2019
Details
- NPI
- 1235782814
- Entity type
- Individual (NPI-1)
- Name
- Mr. Scott Edward Foor
- Credential
- M.A.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 22, 2019
- Last updated
- Jul 22, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | 69611 | WY | Yes |
| 251B00000X | Case Management | 69611 | WY | |
| 253Z00000X | In Home Supportive Care | 69611 | WY | |
| 305R00000X | Preferred Provider Organization | 69611 | WY |
Practice location
2353 N 9th St Lot A111Laramie, WY 82072-1609
Phone 805-704-0721
Mailing address
2353 N 9th St Lot A111Laramie, WY 82072-1609
Phone 805-704-0721
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