Provider Demographics
NPI:1699010363
Name:SCOTT, ASHLEY LAURA
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:LAURA
Last Name:SCOTT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 W 1720 N APT 119
Mailing Address - Street 2:
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84604-2475
Mailing Address - Country:US
Mailing Address - Phone:435-279-3947
Mailing Address - Fax:
Practice Address - Street 1:210 N 1200 E
Practice Address - Street 2:SUITE 6
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043-2297
Practice Address - Country:US
Practice Address - Phone:801-407-4587
Practice Address - Fax:888-837-4147
Is Sole Proprietor?:No
Enumeration Date:2012-12-06
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor