Doctor Name: | CAMERON JUNG |
NPI Number: | 1891180394 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 3263 |
Business Practice Address: | 3301 Knollwood Dr Bldg 4 Mobile, AL - 366937003 |
Business Phone Number: | 2516622667 |
Business Fax Number: | 2516622669 |
Mailing Address: | 251 Johnston St Se Ste 300, DECATUR |
State: | AL |
Postal Code: | 356012515 |
Phone Number: | 2563409708 |
Fax Number: | 2563409624 |
NPI Enumeration Date: | 04/01/2015 |
NPI Last Update Date: | 04/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3263 |
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 |