# DR. JACQUELINE SCHOLL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1780652131
- **Gender:** F
- **Credential:** AU.D, CCC-A

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 278 | OK | Yes |

## Other

- **Enumeration date:** 03/10/2006
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100645110B | — | OK |
| 01 | — | 244519901 | MEDICARE PTAN | OK |