Individual
MRS. CRYSTAL DAWN SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
14903 WINDSOR LN, NOBLESVILLE, IN 46060-4711
(317) 773-9080
(317) 776-9016
Mailing address
14903 WINDSOR LN, NOBLESVILLE, IN 46060-4711
(317) 773-9080
(317) 776-9016
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003261A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12023416
ASHA LICENSE #
—
05
—
200603290
—
IN
01
—
22003261A
SPEECH PATHOLOGIST LICENS
IN
Enumeration date
03/22/2007
Last updated
06/14/2013
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