Provider Demographics
NPI:1407745664
Name:SCOTT, ALEXIS (CCC-SLP)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:SCOTT
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:276 JIM IRELAND RD
Mailing Address - Street 2:
Mailing Address - City:BARLOW
Mailing Address - State:KY
Mailing Address - Zip Code:42024-9706
Mailing Address - Country:US
Mailing Address - Phone:270-816-4401
Mailing Address - Fax:
Practice Address - Street 1:276 JIM IRELAND RD
Practice Address - Street 2:
Practice Address - City:BARLOW
Practice Address - State:KY
Practice Address - Zip Code:42024-9706
Practice Address - Country:US
Practice Address - Phone:270-816-4401
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY296557235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist