Doctor Name: | CHANDIS SCOTT |
NPI Number: | 1114254752 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SA8163 |
Business Practice Address: | 10100 Hillview Dr Pensacola, FL - 325145436 |
Business Phone Number: | 8504785153 |
Business Fax Number: | |
Mailing Address: | 317 Briarwood Cir Nw, FORT WALTON BEACH |
State: | FL |
Postal Code: | 325483903 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/03/2009 |
NPI Last Update Date: | 11/03/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA8163 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |