Vernell S Forman MA./CCC/SLP

NPI 1770763823 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1770763823
Gender Female
Enumeration Date 11/06/2007
Last Updated 11/06/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3294A DOG RIVER RD
THEODORE AL, 36582-2524, US
Phone (251) 443-5154
Fax (251) 661-2579
Business Location
3294A DOG RIVER RD
THEODORE AL, 36582-2524, US
Phone (251) 443-5154
Fax (251) 661-2579
Toxanomy
Taxonomy Code 235Z00000X
License State Alabama
License Number 2648
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According to our database, Mrs. Vernell S Forman MA./CCC/SLP NPI is 1770763823, taxonomy code is 235Z00000X and license number is 2648, license state is located at Alabama. Vernell S Forman MA./CCC/SLP physically located at 3294a Dog River Rd, Theodore AL, 36582-2524. NPI Number Vernell S Forman MA./CCC/SLP has the Individual type.

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1770763823 NPI number is provided on an as is basis without warranty of any kind. 1770763823 is maintained by the National Plan & Provider Enumeration System. The contents of Vernell S Forman MA./CCC/SLP are for informational purposes only.