Provider Demographics
NPI:1437629235
Name:SCOTT, ELIZABETH (CRS)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:SCOTT
Suffix:
Gender:F
Credentials:CRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60405 E 252 LN
Mailing Address - Street 2:
Mailing Address - City:GROVE
Mailing Address - State:OK
Mailing Address - Zip Code:74344-7786
Mailing Address - Country:US
Mailing Address - Phone:918-801-3495
Mailing Address - Fax:
Practice Address - Street 1:60405 E 252 LN
Practice Address - Street 2:
Practice Address - City:GROVE
Practice Address - State:OK
Practice Address - Zip Code:74344-7786
Practice Address - Country:US
Practice Address - Phone:918-801-3495
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-05
Last Update Date:2018-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist