Organization Name: | SPEECH AND SWALLOWING REHABILITATION, PC |
NPI Number: | 1366706566 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHERMETRA RENA DELAINE (SPEECH LANGUAGE PATHOLOGIST) |
Mailing Address: | 7027 Old Madison Pike Nw Suite 108 Huntsville |
State: | AL US |
Postal Code: | 358062368 |
Phone Number: | 2566842124 |
Fax Number: | 2564649243 |
NPI Enumeration Date: | 07/02/2012 |
NPI Last Update Date: | 07/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2235 |
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 |