Doctor Name: | MRS. EMILY BALLARD STEWART |
NPI Number: | 1336402999 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 3305 |
Business Practice Address: | 2125 E South Blvd Montgomery, AL - 361162409 |
Business Phone Number: | 3342880240 |
Business Fax Number: | |
Mailing Address: | 107 Hillside Dr, WETUMPKA |
State: | AL |
Postal Code: | 360922924 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/19/2012 |
NPI Last Update Date: | 06/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3305 |
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 |