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NPI Code Detail

MEDICARE: MRS. LOUISE HICKS WRIGHT MCD CCC-SLP

MEDICARE: MRS. LOUISE HICKS WRIGHT MCD CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist2520AL

General Provider Information

NPI Number : 1245522705
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LOUISE HICKS WRIGHT MCD CCC-SLP
Provider Business Mailing Address
First Line : 4380 STONE RIDGE CIR
Second Line :
City : TRUSSVILLE
State : AL
Zip : 35173-1839
Country : US
Telephone Number : 205-956-2184
Fax Number : 205-956-2195
Provider Business Practice Location Address
First Line : 3605 RATLIFF RD
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35210-4512
Country : US
Telephone Number : 205-956-2184
Fax Number : 205-956-2195
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2011
Last Update Date : 05/03/2011

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Directions to “ MRS. LOUISE HICKS WRIGHT MCD CCC-SLP” Practice Location

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