Provider Demographics
NPI:1477599462
Name:UAB SPEECH AND HEARING CLINIC
Entity Type:Organization
Organization Name:UAB SPEECH AND HEARING CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIS
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:HOOD
Authorized Official - Last Name:FREUD
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:205-934-4816
Mailing Address - Street 1:1717 6TH AVENUE SOUTH
Mailing Address - Street 2:SRC RO44
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35249-0001
Mailing Address - Country:US
Mailing Address - Phone:205-934-4816
Mailing Address - Fax:205-934-7420
Practice Address - Street 1:1717 6TH AVENUE SOUTH
Practice Address - Street 2:SRC RO44
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35249-0001
Practice Address - Country:US
Practice Address - Phone:205-934-4816
Practice Address - Fax:205-934-7420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL283X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital