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NPI Code Detail

MEDICARE: ELAINE SCROGGINS

MEDICARE: ELAINE SCROGGINS
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 Pathologist22003230AIN

General Provider Information

NPI Number : 1942196340
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELAINE SCROGGINS
Provider Business Mailing Address
First Line : 1540 W EDGEWOOD AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46217-9648
Country : US
Telephone Number : 317-561-1888
Fax Number :
Provider Business Practice Location Address
First Line : 1540 W EDGEWOOD AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46217-9648
Country : US
Telephone Number : 317-561-1888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2025
Last Update Date : 06/13/2025

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Directions to “ ELAINE SCROGGINS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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