Provider Demographics
NPI:1376065615
Name:SCOUT AUDIOLOGY, PLLC
Entity Type:Organization
Organization Name:SCOUT AUDIOLOGY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF AUDIOLOGY
Authorized Official - Prefix:DR
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:972-953-8914
Mailing Address - Street 1:3616 FAR WEST BLVD STE 117-401
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-3082
Mailing Address - Country:US
Mailing Address - Phone:512-666-1945
Mailing Address - Fax:
Practice Address - Street 1:3616 FAR WEST BLVD STE 117-401
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731
Practice Address - Country:US
Practice Address - Phone:972-953-8914
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-07
Last Update Date:2018-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80543261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech