Provider Demographics
NPI:1356467815
Name:SCOTT, SABINA M (AUD)
Entity type:Individual
Prefix:
First Name:SABINA
Middle Name:M
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 1:9399 CROWN CREST BLVD
Mailing Address - Street 2:SUITE 401
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-8506
Mailing Address - Country:US
Mailing Address - Phone:720-274-2544
Mailing Address - Fax:720-274-2541
Practice Address - Street 1:9399 CROWN CREST BLVD
Practice Address - Street 2:SUITE 401
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-8506
Practice Address - Country:US
Practice Address - Phone:720-274-2544
Practice Address - Fax:720-274-2541
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2014-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO430231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO16585OtherKAISER COMMERCIAL NUMBER
CO52350053Medicaid
COCO41275Medicare PIN