Provider Demographics
NPI:1639404940
Name:SCOTT, CHRISTI L (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CHRISTI
Middle Name:L
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1893 DENISON ST
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38111-7810
Mailing Address - Country:US
Mailing Address - Phone:901-692-2393
Mailing Address - Fax:
Practice Address - Street 1:95 MAHALANI ST
Practice Address - Street 2:# 19A
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-2521
Practice Address - Country:US
Practice Address - Phone:808-244-7467
Practice Address - Fax:808-242-5835
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-05
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist