Provider Demographics
NPI:1497529929
Name:FORTE, SCOTT CHRISTIAN
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:CHRISTIAN
Last Name:FORTE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9777 N 91ST ST STE 101
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-5087
Mailing Address - Country:US
Mailing Address - Phone:480-451-0220
Mailing Address - Fax:480-661-5625
Practice Address - Street 1:9777 N 91ST ST STE 101
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-5087
Practice Address - Country:US
Practice Address - Phone:480-451-0220
Practice Address - Fax:480-661-5625
Is Sole Proprietor?:No
Enumeration Date:2023-11-15
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ14344237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist