Doctor Name: | TIMOTHY SCOTT |
NPI Number: | 1942636642 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 015178 |
Business Practice Address: | 350 S 8th St Lebanon, OR - 973552242 |
Business Phone Number: | 5412591221 |
Business Fax Number: | |
Mailing Address: | 333 Loma Linda Ln, EUGENE |
State: | OR |
Postal Code: | 974052711 |
Phone Number: | 4252607484 |
Fax Number: | |
NPI Enumeration Date: | 09/25/2013 |
NPI Last Update Date: | 09/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 015178 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
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 |