Provider Demographics
NPI:1841802345
Name:SCOTT-SCHEYDT, KATHLEEN KOREN (HIS)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:KOREN
Last Name:SCOTT-SCHEYDT
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:KATHLEEN
Other - Middle Name:KOREN
Other - Last Name:SCOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1900 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-5406
Mailing Address - Country:US
Mailing Address - Phone:717-761-5881
Mailing Address - Fax:
Practice Address - Street 1:1900 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-5406
Practice Address - Country:US
Practice Address - Phone:717-761-5881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-18
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAF03676237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist