Organization Name: | PHENIX SPEECH AND LANGUAGE SERVICES |
NPI Number: | 1265764500 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARY ANN HUDSON (SPEECH LANGUAGE PATHOLOGIST) |
Mailing Address: | 703 13th St Phenix City |
State: | AL US |
Postal Code: | 368675038 |
Phone Number: | 3344485636 |
Fax Number: | 3344485637 |
NPI Enumeration Date: | 02/11/2010 |
NPI Last Update Date: | 06/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3982 |
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 |