MEDICARE: ELIZABETH HOPE 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
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1538338660
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH HOPE SLP

Provider Business Mailing Address
First Line	:	700 UNIVERSITY BLVD E
Second Line	:
City	:	TUSCALOOSA
State	:	AL
Zip	:	35401-2028
Country	:	US
Telephone Number	:	205-348-7131
Fax Number	:	205-348-1845

Provider Business Practice Location Address
First Line	:	700 UNIVERSITY BLVD E
Second Line	:
City	:	TUSCALOOSA
State	:	AL
Zip	:	35401-2028
Country	:	US
Telephone Number	:	205-348-7131
Fax Number	:	205-348-1845

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2008
Last Update Date	:	01/04/2011

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Directions to “ ELIZABETH HOPE SLP” Practice Location

Language	Start Address	Practice Location

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