Individual
SHELBY SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
4660 OLD MOORINGSPORT RD, SHREVEPORT, LA 71107-2945
(251) 458-7712
Mailing address
4660 OLD MOORINGSPORT RD, SHREVEPORT, LA 71107-2945
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5951
LA
Other
Enumeration date
06/18/2010
Last updated
06/18/2010
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