Provider Demographics
NPI:1073934154
Name:DALY, SCOTT STERLING (HAD)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:STERLING
Last Name:DALY
Suffix:
Gender:M
Credentials:HAD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3553 CAMINO MIRA COSTA
Mailing Address - Street 2:SUITE C
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92672-3512
Mailing Address - Country:US
Mailing Address - Phone:949-240-7070
Mailing Address - Fax:949-240-7301
Practice Address - Street 1:3553 CAMINO MIRA COSTA
Practice Address - Street 2:
Practice Address - City:SAN CLEMENTE
Practice Address - State:CA
Practice Address - Zip Code:92672-3512
Practice Address - Country:US
Practice Address - Phone:949-240-7070
Practice Address - Fax:949-240-7301
Is Sole Proprietor?:No
Enumeration Date:2013-12-17
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCHTP-0873237700000X
NC819A01237700000X
CA8094237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist