Blaise Dennis Maxwell Scollard, PSY.D.M.A.CCC

NPI #1619050747 in Clackamas, Oregon

Provider Information

NPI Number
1619050747
Entity Type
Individual
Name
Blaise Dennis Maxwell Scollard, PSY.D.M.A.CCC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Credential
PSY.D.M.A.CCC
Enumeration Date
Oct 23, 2006
Last Updated
May 1, 2013

Practice Location

Address
10180 SE SUNNYSIDE RD
State
Oregon
ZIP Code
97015-8970
Phone
(503) 571-3820

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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