Male or Other

Dr. Scott D. Wykes PHD, LMHC, CDP

Full Name

Dr. Scott D. Wykes PHD, LMHC, CDP

NPI Number

1740325752

NPI Type

Individual Provider

Gender

Male

Enumeration Date

02/20/2007

Specialties

(Taxonomies)

Code

101YA0400X
101YM0800X

Primary Taxonomy

No
No

Licenses

State

Washington
Washington

License Number

CP00004138
LH00007178

Contact
Information

Purpose

Mailing
Location

Address

1106 COLUMBIA AVE
1106 COLUMBIA AVE

City

Marysville
Marysville

State

WA
WA

Postal Code

98270-4335
98270-4335

Country

US
US

Telephone Number

(360) 653-0374
(360) 653-0374

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address