Healthcare Provider Details

I. General information

NPI: 1891948949
Provider Name (Legal Business Name): BIRMINGHAM SPEECH & HEARING ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2008
Last Update Date: 04/10/2020
Certification Date: 04/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 OFFICE PARK CIRCLE SUITE 301
BIRMINGHAM AL
35223
US

IV. Provider business mailing address

4 OFFICE PARK CIRCLE SUITE 301
BIRMINGHAM AL
35223
US

V. Phone/Fax

Practice location:
  • Phone: 205-871-3878
  • Fax: 205-871-3902
Mailing address:
  • Phone: 205-871-3878
  • Fax: 205-871-3902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number773A
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number389
License Number StateAL

VIII. Authorized Official

Name: DR. LESLIE JONES CRAWFORD
Title or Position: AUDIOLOGIST/OWNER
Credential: AUD
Phone: 205-871-3878