Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SCOTT CLEM
Active Sole ProprietorSCOTT CLEM is a Residential Treatment, Emotionally Disturbed Children healthcare provider located in GILLETTE, Wyoming. NPI 1063890341 is currently active in the NPPES registry. Verify at CMS.
Residential Treatment, Emotionally Disturbed Children · GILLETTE, WY
Registration Details
- NPI Number
- 1063890341
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 7, 2015 (11.08791350311 yrs)
- Last Updated
- May 7, 2015
- License
-
020407A2 (WY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
905 N GURLEY AVEGILLETTE, WY, 827162109Browse WY providers · Browse ZIP 82716
- Phone
- 3076860669
- Primary Specialty
-
Residential Treatment, Emotionally Disturbed Children
322D00000X
- Additional Specialty
- Residential Treatment, Emotionally Disturbed Children
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.