Doctor Name: | DEBORAH CLARK EDWARDS |
NPI Number: | 1063725406 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 3056 |
Business Practice Address: | 245 Cahaba Valley Pkwy Suite 200 Pelham, AL - 351242216 |
Business Phone Number: | 2059426820 |
Business Fax Number: | 2059425884 |
Mailing Address: | 3720 Dauphin St, MOBILE |
State: | AL |
Postal Code: | 366081725 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/14/2010 |
NPI Last Update Date: | 07/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3056 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |