Provider Demographics
NPI:1528262789
Name:SCOTT, LORI GUIMOND (CCC-SLP, CLC)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:GUIMOND
Last Name:SCOTT
Suffix:
Gender:F
Credentials:CCC-SLP, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 HIGH HOPES CT
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-1452
Mailing Address - Country:US
Mailing Address - Phone:615-661-5437
Mailing Address - Fax:615-277-2838
Practice Address - Street 1:301 HIGH HOPES CT
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-1452
Practice Address - Country:US
Practice Address - Phone:615-936-5000
Practice Address - Fax:615-277-2838
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2017-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3089235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OTH000Medicare UPIN