Blaise Dennis Maxwell Scollard, PSY.D.M.A.CCC
NPI 1619050747ActiveIndividual· Speech-Language Pathologist· Clackamas, OR
Speech-Language Pathologist (PSY.D.M.A.CCC) in Clackamas, Oregon, licensed in OR, with an NPI issued in October 2006.
Overview
| NPI | 1619050747 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D.M.A.CCC |
| Sole proprietor | No |
| NPI issued | Oct 23, 2006 |
| Last updated in NPPES | May 1, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 10394 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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