Healthcare Provider Details

I. General information

NPI: 1821924150
Provider Name (Legal Business Name): BROOKE ANNE MCADAMS CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2204 OGLETREE VILLAGE LN
AUBURN AL
36830-2965
US

IV. Provider business mailing address

1763 VFW RD
AUBURN AL
36832-7021
US

V. Phone/Fax

Practice location:
  • Phone: 334-209-2009
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number6101
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: