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General NPI Number Information
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NPI Number | 1053778902
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Entity Type | Individual
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Provider Name | ROSZINA DANIELLE SCOTT M.A.
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Gender | Female
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Dates
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Enumeration Date | 01/23/2016
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Last Update Date | 05/02/2020
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Provider Practice Location Address
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Address Line | 14855 MEMORIAL DR
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City | HOUSTON
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State | TX
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Zip | 77079-5273
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Country | US
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Telephone | 912-663-5431
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Fax |
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Provider Business Mailing Address
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Address Line | 14855 MEMORIAL DR APT 1008
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City | HOUSTON
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State | TX
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Zip | 77079-5244
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Country | US
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Telephone | 912-663-5431
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 112766
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License Number State | TX
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