Provider Demographics
NPI:1578022091
Name:SCOTT, VIRGINIA BAUER (MA CCC-SLP/L)
Entity type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:BAUER
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MA CCC-SLP/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1033 ACORN WAY
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:IL
Mailing Address - Zip Code:60013-6094
Mailing Address - Country:US
Mailing Address - Phone:847-346-7119
Mailing Address - Fax:
Practice Address - Street 1:1033 ACORN WAY
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:IL
Practice Address - Zip Code:60013-6094
Practice Address - Country:US
Practice Address - Phone:847-346-7119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-14
Last Update Date:2019-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist