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NPI Code Detail

MEDICARE: MRS. BRENDA JOYCE BOBBITT MSPCCCSLP

MEDICARE:  MRS. BRENDA JOYCE BOBBITT  MSPCCCSLP
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 Pathologist2029AL

General Provider Information

NPI Number : 1891026332
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BRENDA JOYCE BOBBITT MSPCCCSLP
Provider Business Mailing Address
First Line : 3605 RATLIFF RD
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35210
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 : 01/22/2010
Last Update Date : 01/22/2010

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Directions to “ MRS. BRENDA JOYCE BOBBITT MSPCCCSLP” Practice Location

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