Provider Demographics
NPI:1194212761
Name:SCOTT, LAURI (M A CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LAURI
Middle Name:
Last Name:SCOTT
Suffix:
Gender:F
Credentials:M A CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7304 S SHAWNEE ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-6016
Mailing Address - Country:US
Mailing Address - Phone:303-803-7345
Mailing Address - Fax:
Practice Address - Street 1:7304 S SHAWNEE ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-6016
Practice Address - Country:US
Practice Address - Phone:303-803-7345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-18
Last Update Date:2018-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist