Provider Demographics
NPI:1205864303
Name:FRANKLIN, MONICA S (MED, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:S
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:MED, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1678 MONTGOMERY HWY
Mailing Address - Street 2:STE. 104-301
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35216-4914
Mailing Address - Country:US
Mailing Address - Phone:205-368-2847
Mailing Address - Fax:
Practice Address - Street 1:4501 SOUTHLAKE PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35244-3238
Practice Address - Country:US
Practice Address - Phone:205-985-7393
Practice Address - Fax:205-987-1332
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-28
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1374235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL890016110Medicaid
AL515-28539OtherBLUE CROSS-BLUE SHIELD
AL515-28539OtherBLUE CROSS-BLUE SHIELD
AL32-0150951OtherTAX ID EIN