Doctor Name: | MR. SCOTT D PERLOW |
NPI Number: | 1710270699 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A., CCC-SLP/L |
License Number: | 0346379 |
Business Practice Address: | 51 Brook Street Breckenridge, CO - 804246244 |
Business Phone Number: | 9704853662 |
Business Fax Number: | |
Mailing Address: | Po Box 6244, 51 Brook St BRECKENRIDGE |
State: | CO |
Postal Code: | 804246244 |
Phone Number: | 9704853662 |
Fax Number: | |
NPI Enumeration Date: | 05/25/2011 |
NPI Last Update Date: | 05/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 0346379 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
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 |