Provider Demographics
NPI:1912150780
Name:FOX, SCARLETT RACHEL (MS,CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:SCARLETT
Middle Name:RACHEL
Last Name:FOX
Suffix:
Gender:F
Credentials:MS,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7111 W 128TH LN
Mailing Address - Street 2:
Mailing Address - City:CEDAR LAKE
Mailing Address - State:IN
Mailing Address - Zip Code:46303-8943
Mailing Address - Country:US
Mailing Address - Phone:219-713-4915
Mailing Address - Fax:
Practice Address - Street 1:7111 W 128TH LN
Practice Address - Street 2:
Practice Address - City:CEDAR LAKE
Practice Address - State:IN
Practice Address - Zip Code:46303-8943
Practice Address - Country:US
Practice Address - Phone:219-713-4915
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-24
Last Update Date:2008-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist