Doctor Name: | ALYSHA MAULDIN MONTGOMERY |
NPI Number: | 1164557062 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | 2044 |
Business Practice Address: | 212 4th Ave Se Ste 100 Cullman, AL - 350553662 |
Business Phone Number: | 2567351727 |
Business Fax Number: | 2567351211 |
Mailing Address: | 110 County Road 392, CULLMAN |
State: | AL |
Postal Code: | 350574088 |
Phone Number: | 2567348158 |
Fax Number: | |
NPI Enumeration Date: | 02/22/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2044 |
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 |