Provider Information for 1538710975
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Mr. SCOTT CYPRESS LPC, LMHC
Sex: Male
NPI: 1538710975
Last Updated: 2024-08-21
Certification Date: 2024-08-21
Certification Date: 2024-08-21
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1538710975 | ||||||||||||
| Enumeration Date | 2019-09-26 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 700 NW HILL ST STE 4 BEND, OR 97703-2960 United States Phone: 813-390-7557 | Fax: | ||||||||||||
| Primary Practice Address | 911 NE 4TH ST STE 1 BEND, OR 97701-4647 United States Phone: 813-390-7557 | Fax: | ||||||||||||
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