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NPI Code Detail

MEDICARE: ALESHA D SCOTT M.A., CF-SLP

MEDICARE: ALESHA D SCOTT M.A., CF-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist2202011158VA
2106S00000XBehavior TechnicianA61461900VA

General Provider Information

NPI Number : 1578111324
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALESHA D SCOTT M.A., CF-SLP
Provider Business Mailing Address
First Line : 21600 OXNARD ST STE 1800
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-7807
Country : US
Telephone Number : 818-345-2345
Fax Number :
Provider Business Practice Location Address
First Line : 4823 S LABURNUM AVE
Second Line :
City : HENRICO
State : VA
Zip : 23231-2713
Country : US
Telephone Number : 804-533-2622
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2019
Last Update Date : 03/27/2026

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