Healthcare Provider Details

I. General information

NPI: 1780529990
Provider Name (Legal Business Name): AUBREY MICHELLE MARR M.S, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1952 N BRINDLEE MOUNTAIN PKWY
ARAB AL
35016-5433
US

IV. Provider business mailing address

1952 N BRINDLEE MOUNTAIN PKWY
ARAB AL
35016-5433
US

V. Phone/Fax

Practice location:
  • Phone: 256-931-3711
  • Fax:
Mailing address:
  • Phone: 256-931-3711
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number6074
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: