MEDICARE: CENTER FOR SPEECH & LANGUAGE PATHOLOGY, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	161	AL

General Provider Information

NPI Number	:	1528186590
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER FOR SPEECH & LANGUAGE PATHOLOGY, INC

Provider Business Mailing Address
First Line	:	1001 MONROE ST SW
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35801-5028
Country	:	US
Telephone Number	:	256-533-3314
Fax Number	:	256-533-3384

Provider Business Practice Location Address
First Line	:	1001 MONROE ST SW
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35801-5028
Country	:	US
Telephone Number	:	256-533-3314
Fax Number	:	256-533-3384

Authorized Official
Title or Position	:	OWNER
Name	:	MS. MELISSA M MAHONE
Credential	:	M.S.
Telephone Number	:	256-533-3314

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	08/22/2020

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Directions to “CENTER FOR SPEECH & LANGUAGE PATHOLOGY, INC ” Practice Location

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