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NPI Code Detail

MEDICARE: MRS. MARY ANNEZ RAY-ALLEN M.ED., CCC/SLP

MEDICARE: MRS. MARY ANNEZ RAY-ALLEN M.ED., 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 Pathologist2649AL

General Provider Information

NPI Number : 1790984615
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARY ANNEZ RAY-ALLEN M.ED., CCC/SLP
Provider Business Mailing Address
First Line : 13966 ELAM CIR
Second Line :
City : NORTHPORT
State : AL
Zip : 35475-3574
Country : US
Telephone Number : 205-333-9097
Fax Number :
Provider Business Practice Location Address
First Line : 700 UNIVERSITY BLVD E
Second Line : ROOM 145
City : TUSCALOOSA
State : AL
Zip : 35401-2028
Country : US
Telephone Number : 205-348-1834
Fax Number : 205-348-1845
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2007
Last Update Date : 06/15/2017

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Directions to “ MRS. MARY ANNEZ RAY-ALLEN M.ED., CCC/SLP” Practice Location

Language Start Address Practice Location
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