Provider Demographics
NPI:1851666846
Name:BETANCOURT, VANESSA M (AUD, CCC-A)
Entity type:Individual
Prefix:DR
First Name:VANESSA
Middle Name:M
Last Name:BETANCOURT
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:VANESSA
Other - Middle Name:M
Other - Last Name:BETANCOURT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:20745 N SCOTTSDALE RD STE 105
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-6595
Mailing Address - Country:US
Mailing Address - Phone:480-534-4525
Mailing Address - Fax:
Practice Address - Street 1:20745 N SCOTTSDALE RD STE 105
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-6595
Practice Address - Country:US
Practice Address - Phone:480-534-4525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-09
Last Update Date:2025-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9304231H00000X
AZDA10187231H00000X
AZDA-10187231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist