Provider Demographics
NPI:1457600686
Name:ADAMSONS, SCOTT A (BA, BC-HIS)
Entity type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:A
Last Name:ADAMSONS
Suffix:
Gender:M
Credentials:BA, BC-HIS
Other - Prefix:
Other - First Name:PASTOR SCOTT
Other - Middle Name:A
Other - Last Name:ADAMSONS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BA, BC-HIS
Mailing Address - Street 1:1500 BARRY OAK CT
Mailing Address - Street 2:
Mailing Address - City:KERNERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27284-7899
Mailing Address - Country:US
Mailing Address - Phone:860-301-8569
Mailing Address - Fax:
Practice Address - Street 1:851 OLD WINSTON RD
Practice Address - Street 2:SUITE 108
Practice Address - City:KERNERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27284-8780
Practice Address - Country:US
Practice Address - Phone:336-497-5436
Practice Address - Fax:336-275-3082
Is Sole Proprietor?:No
Enumeration Date:2012-09-04
Last Update Date:2017-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT37-408237700000X
NC1477237700000X
IN40002742A237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist