| Doctor Name: | MRS. COURTNEY SCOTT BAUER |
| NPI Number: | 1306962600 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, CCC-SLP |
| License Number: | S3071 |
| Business Practice Address: | 5779 Getwell Rd Bldg. D, Suite 3 Southaven, MS - 386726347 |
| Business Phone Number: | 6625106507 |
| Business Fax Number: | 6625106508 |
| Mailing Address: | 8680 Bell Ridge Dr, OLIVE BRANCH |
| State: | MS |
| Postal Code: | 386546223 |
| Phone Number: | 6628954555 |
| Fax Number: | |
| NPI Enumeration Date: | 03/21/2007 |
| NPI Last Update Date: | 04/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | S3071 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| 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 |