Scott, Cory

Scott, Cory is an individual health care provider with primary practice located at 1801 1St Ave Ste 3A , Longview WA 98632-3271. He recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is his primary health care specialty. Scott, Cory can be contacted via phone (360) 636-4469.

Contact Information

Primary practice address
1801 1St Ave Ste 3A Longview WA 98632-3271
Phone: (360) 636-4469
Fax: (360) 425-4970
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X LD61019728 Washington
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X LD61019728 Washington
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 31036 Oregon

Profile Details

NPI number 1073037495
LBN Legal business name Scott, Cory
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2017
Last updated May 17th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073037495 NPPES
Washington MEDICAID 1073037495

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