Provider Demographics
NPI:1811240575
Name:PALASIK, SCOTT THOMAS (PHD, CCC-SLP)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:THOMAS
Last Name:PALASIK
Suffix:
Gender:M
Credentials:PHD, 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:SCHOOL OF SPEECH-LANGUAGE PATHOLOGY & AUDIOLOGY
Mailing Address - Street 2:THE POLSKY BUILDING, RM. 181
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44325-3001
Mailing Address - Country:US
Mailing Address - Phone:330-972-8185
Mailing Address - Fax:
Practice Address - Street 1:SCHOOL OF SPEECH-LANGUAGE PATHOLOGY & AUDIOLOGY
Practice Address - Street 2:THE POLSKY BUILDING, RM. 181
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44325-3001
Practice Address - Country:US
Practice Address - Phone:330-972-8185
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-18
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH8941235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist