Individual
CARLY ANN SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
309 W VUELTA FRISO, SAHUARITA, AZ 85629-8671
(520) 465-2659
(520) 886-6878
Mailing address
309 W VUELTA FRISO, SAHUARITA, AZ 85629-8671
(520) 465-2659
(520) 886-6878
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP4622
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164513
AHCCCS PROVIDER NUMBER
AZ
Enumeration date
05/14/2007
Last updated
07/08/2007
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