Provider Demographics
NPI:1326640202
Name:SCOTT, SUSAN HUNT (LSW, MA, M ED)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:HUNT
Last Name:SCOTT
Suffix:
Gender:F
Credentials:LSW, MA, M ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8500 LOONEY RD
Mailing Address - Street 2:
Mailing Address - City:PIQUA
Mailing Address - State:OH
Mailing Address - Zip Code:45356-9238
Mailing Address - Country:US
Mailing Address - Phone:937-925-6609
Mailing Address - Fax:
Practice Address - Street 1:8500 LOONEY RD
Practice Address - Street 2:
Practice Address - City:PIQUA
Practice Address - State:OH
Practice Address - Zip Code:45356-9238
Practice Address - Country:US
Practice Address - Phone:937-925-6609
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-14
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1204805347C00000X, 172A00000X, 3747P1801X, 376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No347C00000XTransportation ServicesPrivate Vehicle
No172A00000XOther Service ProvidersDriver
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant