Healthcare Provider Details

I. General information

NPI: 1245134097
Provider Name (Legal Business Name): NATALIE MARIE-SAFRON CHANEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1502 MAIN ST
GREENSBORO AL
36744-1552
US

IV. Provider business mailing address

1715 CHOCTAW ST
DEMOPOLIS AL
36732-2742
US

V. Phone/Fax

Practice location:
  • Phone: 334-624-3950
  • Fax:
Mailing address:
  • Phone: 704-799-5585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number6100
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: