Healthcare Provider Details

I. General information

NPI: 1245173202
Provider Name (Legal Business Name): ABIGAIL O'NEAL CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

529 BEACON PKWY W STE 101
BIRMINGHAM AL
35209-3126
US

IV. Provider business mailing address

6209 WINDSOR LN
PINSON AL
35126-3490
US

V. Phone/Fax

Practice location:
  • Phone: 205-440-2294
  • Fax:
Mailing address:
  • Phone: 205-440-2294
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number6050
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: