Individual
LISA SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1211 S 29TH ST, CHICKASHA, OK 73018
(405) 224-0002
(405) 224-0133
Mailing address
1211 S 29TH ST, CHICKASHA, OK 73018-9651
(405) 224-0002
(405) 224-0133
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4588
OK
Other
Enumeration date
07/11/2016
Last updated
01/15/2019
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