Provider Demographics
NPI:1164107439
Name:WEEKS, MAKAYLA ELIZABETH (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MAKAYLA
Middle Name:ELIZABETH
Last Name:WEEKS
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1252 CERNAN DR NW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35806-3109
Mailing Address - Country:US
Mailing Address - Phone:678-895-6954
Mailing Address - Fax:
Practice Address - Street 1:8075 MADISON BLVD STE 101
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-2042
Practice Address - Country:US
Practice Address - Phone:256-270-9595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-15
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist