Provider Demographics
NPI:1245553197
Name:SCOTT, STEPHANIE DIANNE (CD(DONA, TOLABOR))
Entity type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:DIANNE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:CD(DONA, TOLABOR)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3307 LARRY LN
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78722-1602
Mailing Address - Country:US
Mailing Address - Phone:512-587-4292
Mailing Address - Fax:
Practice Address - Street 1:3307 LARRY LN
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78722-1602
Practice Address - Country:US
Practice Address - Phone:512-587-4292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-07
Last Update Date:2010-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula