Doctor Name: | MS. GINGER LYLE MASON |
NPI Number: | 1235397860 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S, CCC/SLPCERT AVT |
License Number: | 1854 |
Business Practice Address: | 101 Sivley Rd Sw Huntsville, AL - 358014421 |
Business Phone Number: | 2562657952 |
Business Fax Number: | 2562657953 |
Mailing Address: | 1121 Wellman Ave Ne, HUNTSVILLE |
State: | AL |
Postal Code: | 358013032 |
Phone Number: | 2562657952 |
Fax Number: | 2562657953 |
NPI Enumeration Date: | 05/30/2008 |
NPI Last Update Date: | 05/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1854 |
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 |