Provider Demographics
NPI:1083340426
Name:SCOTT, SONIA HAYDEE (DOULA)
Entity Type:Individual
Prefix:
First Name:SONIA
Middle Name:HAYDEE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 NAVAJO TRCE
Mailing Address - Street 2:
Mailing Address - City:CRESTVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:32536-9562
Mailing Address - Country:US
Mailing Address - Phone:915-777-0463
Mailing Address - Fax:
Practice Address - Street 1:108 NAVAJO TRCE
Practice Address - Street 2:
Practice Address - City:CRESTVIEW
Practice Address - State:FL
Practice Address - Zip Code:32536-9562
Practice Address - Country:US
Practice Address - Phone:915-777-0463
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-27
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula