MEDICARE: MRS. SONYA NINA IAPAOLO-SCOTT LPC

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	101YP2500X	Professional Counselor	4380	CO

General Provider Information

NPI Number	:	1790820694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SONYA NINA IAPAOLO-SCOTT LPC

Provider Business Mailing Address
First Line	:	3578 HARTSEL DR STE 196
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-2103
Country	:	US
Telephone Number	:	719-684-6357
Fax Number	:	719-260-6667

Provider Business Practice Location Address
First Line	:	7750 N UNION BLVD
Second Line	:	SUITE 102
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-4051
Country	:	US
Telephone Number	:	719-684-6357
Fax Number	:	719-260-6667

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

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	07/08/2007

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