Healthcare Provider Details

I. General information

NPI: 1477599462
Provider Name (Legal Business Name): UAB SPEECH AND HEARING CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1717 6TH AVENUE SOUTH SRC RO44
BIRMINGHAM AL
35249-0001
US

IV. Provider business mailing address

1717 6TH AVENUE SOUTH SRC RO44
BIRMINGHAM AL
35249-0001
US

V. Phone/Fax

Practice location:
  • Phone: 205-934-4816
  • Fax: 205-934-7420
Mailing address:
  • Phone: 205-934-4816
  • Fax: 205-934-7420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number
License Number StateAL

VIII. Authorized Official

Name: ANDREA HOOD FREUD
Title or Position: AUDIOLOGIS
Credential: AU.D.
Phone: 205-934-4816