Gena S Dismuke M.S. CCC-SLP

NPI 1376780833 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1376780833
Gender Female
Enumeration Date 01/20/2009
Last Updated 01/20/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
245 CAHABA VALLEY PKWY
SUITE 200
PELHAM AL, 35124-2216, US
Phone (205) 942-6820
Fax (205) 942-5884
Business Location
2639 GILMER AVE
TALLASSEE AL, 36078-7213, US
Phone (334) 283-3975
Fax (334) 252-8277
Toxanomy
Taxonomy Code 235Z00000X
License State Alabama
License Number 845
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According to our database, Gena S Dismuke M.S. CCC-SLP NPI is 1376780833, taxonomy code is 235Z00000X and license number is 845, license state is located at Alabama. Gena S Dismuke M.S. CCC-SLP physically located at 245 Cahaba Valley Pkwy, Pelham AL, 35124-2216. NPI Number Gena S Dismuke M.S. CCC-SLP has the Individual type.

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1376780833 NPI number is provided on an as is basis without warranty of any kind. 1376780833 is maintained by the National Plan & Provider Enumeration System. The contents of Gena S Dismuke M.S. CCC-SLP are for informational purposes only.