| Gabrielle I Scott, SLP | |
|
1620 Highway 11 N Ste C, Picayune, MS 39466-2070 | |
| (769) 242-2626 | |
| (769) 242-2685 |
| Full Name | Gabrielle I Scott |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1620 Highway 11 N Ste C, Picayune, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003537309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | S-4851 (Mississippi) | Primary |
| Provider Name | Southern Physical Therapy Clinic Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1801370929 PECOS PAC ID: 6103167184 Enrollment ID: O20190402000733 |
| Mailing Address | Practice Location Address |
|---|---|
| Gabrielle I Scott, SLP 2825 W Park Dr, Gautier, MS 39553-6549 Ph: (228) 217-0538 | Gabrielle I Scott, SLP 1620 Highway 11 N Ste C, Picayune, MS 39466-2070 Ph: (769) 242-2626 |
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