Provider Demographics
NPI:1639135130
Name:SCOTT, CHRISTINE (AUD)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:SCOTT
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3601 S 6TH AVE # 11A-126
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85723-0001
Mailing Address - Country:US
Mailing Address - Phone:520-792-1450
Mailing Address - Fax:520-629-4707
Practice Address - Street 1:2102 N COUNTRY CLUB RD
Practice Address - Street 2:SUITE 12
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-2831
Practice Address - Country:US
Practice Address - Phone:520-322-8211
Practice Address - Fax:520-327-8490
Is Sole Proprietor?:No
Enumeration Date:2006-04-24
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZDA1667231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZIZ49411OtherHEATLH NET
AZ748577OtherAHCCCS
AZAZ0901808OtherBLUE CROSS BLUE SHEILD
AZ0629265OtherAETNA
AZ150860OtherARIZONA HEAR CARE
AZ150860OtherARIZONA HEAR CARE