Provider Demographics
NPI:1336021625
Name:ROTHSCHADL, SCOTT ALLEN
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:ALLEN
Last Name:ROTHSCHADL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3261 CLEVELAND ST
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75460-6403
Mailing Address - Country:US
Mailing Address - Phone:605-760-3372
Mailing Address - Fax:
Practice Address - Street 1:3261 CLEVELAND ST
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460-6403
Practice Address - Country:US
Practice Address - Phone:605-760-3372
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-25
Last Update Date:2025-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator