MEDICARE: SAVANNAH SCOTT

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
1	2355S0801X	Speech-Language Assistant	SLPA12277	AZ

General Provider Information

NPI Number	:	1467061424
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAVANNAH SCOTT

Provider Business Mailing Address
First Line	:	8201 W BEARDSLEY RD APT 2020
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85382-6490
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7000 W HAPPY VALLEY RD
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85383-3278
Country	:	US
Telephone Number	:	623-445-7600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2020
Last Update Date	:	07/27/2020

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Directions to “ SAVANNAH SCOTT ” Practice Location

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