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General NPI Number Information
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NPI Number | 1922195163
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL SPEECH SERVICES OF ALABAMA, P.C.
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Dates
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Enumeration Date | 10/09/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3057 LORNA RD STE 220
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City | BIRMINGHAM
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State | AL
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Zip | 35216-4518
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Country | US
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Telephone | 205-987-8080
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Fax | 205-987-8080
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Provider Business Mailing Address
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Address Line | 3325 LORNA RD # 2234
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City | BIRMINGHAM
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State | AL
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Zip | 35216-7404
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Country | US
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Telephone | 205-987-8080
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Fax | 205-987-8080
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Authorized Official
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Title or Position | PRESIDENT AND OWNER OF PSSA
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Name | MRS. DEBORAH BOSWELL
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Credential | M.S. , CCC-SLP
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Telephone | 205-987-8080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State | AL
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