| Doctor Name: | ANTIONETTE SCALES |
| NPI Number: | 1023001336 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLPA |
| License Number: | REG. #SLP-A 0004 |
| Business Practice Address: | 800 Brookstown Ave Winston-salem, NC - 271013745 |
| Business Phone Number: | 3367250222 |
| Business Fax Number: | 3367250454 |
| Mailing Address: | 800 Brookstown Ave, WINSTON-SALEM |
| State: | NC |
| Postal Code: | 271013745 |
| Phone Number: | 3367250222 |
| Fax Number: | 3367250454 |
| NPI Enumeration Date: | 08/23/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2355S0801X |
| License Number: | REG. #SLP-A 0004 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Specialist/Technologist |
| Taxonomy Specialization: | Speech-Language Assistant |
| Taxonomy Definition: | |