Individual
MRS. CYNTHIA S SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
29678 BAUGH ST NW, PRINCETON, MN 55371-4650
(612) 801-3683
Mailing address
29678 BAUGH ST NW, PRINCETON, MN 55371-4650
(612) 801-3683
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6010
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6010
MN DEPT OF HEALTH SPEECH PATHOLOGY LICENSE
MN
Enumeration date
01/22/2012
Last updated
01/22/2012
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