Provider Demographics
NPI:1093713893
Name:SCAFE, DARNELL H (MA, CCC-A)
Entity Type:Individual
Prefix:MRS
First Name:DARNELL
Middle Name:H
Last Name:SCAFE
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1618 GUNBARREL RD STE 102
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-4139
Mailing Address - Country:US
Mailing Address - Phone:423-710-1432
Mailing Address - Fax:423-710-1433
Practice Address - Street 1:5617 HIGHWAY 153 STE 203
Practice Address - Street 2:
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343
Practice Address - Country:US
Practice Address - Phone:423-713-5266
Practice Address - Fax:423-713-5269
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2018-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNA252231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00358113AMedicaid
TN1093713893OtherNPI