Provider Demographics
NPI:1396908760
Name:SCOTT, AUNDRA CHRISTINA (M ED, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:AUNDRA
Middle Name:CHRISTINA
Last Name:SCOTT
Suffix:
Gender:F
Credentials:M ED, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 ALBUS DR
Mailing Address - Street 2:
Mailing Address - City:WELLFORD
Mailing Address - State:SC
Mailing Address - Zip Code:29385-9070
Mailing Address - Country:US
Mailing Address - Phone:919-491-9903
Mailing Address - Fax:
Practice Address - Street 1:136 ALBUS DR
Practice Address - Street 2:
Practice Address - City:WELLFORD
Practice Address - State:SC
Practice Address - Zip Code:29385-9070
Practice Address - Country:US
Practice Address - Phone:919-491-9903
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-07
Last Update Date:2016-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4316235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist