Provider Demographics
NPI:1053778902
Name:SCOTT, ROSZINA DANIELLE (MA)
Entity type:Individual
Prefix:MS
First Name:ROSZINA
Middle Name:DANIELLE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14855 MEMORIAL DR APT 1008
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-5244
Mailing Address - Country:US
Mailing Address - Phone:912-663-5431
Mailing Address - Fax:
Practice Address - Street 1:14855 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-5273
Practice Address - Country:US
Practice Address - Phone:912-663-5431
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-23
Last Update Date:2020-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX112766235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist