Healthcare Provider Details

I. General information

NPI: 1235316753
Provider Name (Legal Business Name): AUBURN UNIVERSITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2008
Last Update Date: 05/22/2023
Certification Date: 05/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1199 HALEY CTR
AUBURN UNIVERSITY AL
36849-5232
US

IV. Provider business mailing address

1199 HALEY CTR
AUBURN UNIVERSITY AL
36849-0001
US

V. Phone/Fax

Practice location:
  • Phone: 334-844-9600
  • Fax: 334-844-9684
Mailing address:
  • Phone: 334-844-9600
  • Fax: 334-844-9684

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateAL

VIII. Authorized Official

Name: MELISSA TOWNSEND
Title or Position: BILLING COORDINATOR
Credential: MHA, CPB
Phone: 334-844-9600