Provider Demographics
NPI:1033345327
Name:SHAMBOURGER & SCOTT, INC.
Entity Type:Organization
Organization Name:SHAMBOURGER & SCOTT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHAWNA
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:SHAMBOURGER
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:559-250-8380
Mailing Address - Street 1:149 OAK AVE
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93611-7228
Mailing Address - Country:US
Mailing Address - Phone:559-301-4084
Mailing Address - Fax:559-433-8870
Practice Address - Street 1:149 OAK AVE
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93611-7228
Practice Address - Country:US
Practice Address - Phone:559-250-8380
Practice Address - Fax:559-433-8870
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-01
Last Update Date:2009-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP12606235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty