Provider Demographics
NPI:1952495871
Name:SCOTT, JULIE NGO (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:NGO
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14207 BLAIR RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-8194
Mailing Address - Country:US
Mailing Address - Phone:281-304-7141
Mailing Address - Fax:
Practice Address - Street 1:14815 CYPRESS NORTH HOUSTON RD
Practice Address - Street 2:STE A
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-6181
Practice Address - Country:US
Practice Address - Phone:281-477-9500
Practice Address - Fax:281-477-9563
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2012-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18990235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX178733501Medicaid