Provider Demographics
NPI:1538288774
Name:LITTIG, SCOTT (CCC-SLP)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:
Last Name:LITTIG
Suffix:
Gender:M
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 BRAE BOURNE DR
Mailing Address - Street 2:
Mailing Address - City:RICHBORO
Mailing Address - State:PA
Mailing Address - Zip Code:18954-1417
Mailing Address - Country:US
Mailing Address - Phone:267-391-8196
Mailing Address - Fax:
Practice Address - Street 1:60 BRAE BOURNE DR
Practice Address - Street 2:
Practice Address - City:RICHBORO
Practice Address - State:PA
Practice Address - Zip Code:18954-1417
Practice Address - Country:US
Practice Address - Phone:267-391-8196
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL005978L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist