NPI 1114802824 · live from the CMS NPI Registry
Taylor Ben
Psychologist, School in Scottsbluff, NE. National Provider Identifier 1114802824, active.
NPI record
| NPI | 1114802824 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, School 103TS0200X |
| Practice location | 4215 Avenue I, Scottsbluff, NE 69361 |
| Practice phone | 308-635-3696 |
| Mailing address | 14860 Audubon Lake Blvd, Gulfport, MS 39503 |
| Enumerated | August 11, 2025 |
| Last updated | August 11, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, School primary | 103TS0200X | 20240009498 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.