Provider Demographics
NPI:1932344926
Name:SCOTTO, JOAN (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:
Last Name:SCOTTO
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:JOAN
Other - Middle Name:
Other - Last Name:SCIANO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:453 W BEECH ST
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-3125
Mailing Address - Country:US
Mailing Address - Phone:516-889-3156
Mailing Address - Fax:
Practice Address - Street 1:453 W BEECH ST
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:NY
Practice Address - Zip Code:11561-3125
Practice Address - Country:US
Practice Address - Phone:516-889-3156
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-05
Last Update Date:2008-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008437-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist