Doctor Name: | MRS. MARY RAY ALLEN |
NPI Number: | 1790984615 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED., CCC/SLP |
License Number: | 2649 |
Business Practice Address: | 700 University Blvd E Room 145 Tuscaloosa, AL - 354012028 |
Business Phone Number: | 2053481834 |
Business Fax Number: | 2053481845 |
Mailing Address: | 13966 Elam Cir, NORTHPORT |
State: | AL |
Postal Code: | 354753574 |
Phone Number: | 2053339097 |
Fax Number: | |
NPI Enumeration Date: | 07/11/2007 |
NPI Last Update Date: | 12/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2649 |
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 |