Provider Demographics
NPI:1528186590
Name:CENTER FOR SPEECH & LANGUAGE PATHOLOGY, INC
Entity Type:Organization
Organization Name:CENTER FOR SPEECH & LANGUAGE PATHOLOGY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MAHONE
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:256-533-3314
Mailing Address - Street 1:1001 MONROE ST SW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-5028
Mailing Address - Country:US
Mailing Address - Phone:256-533-3314
Mailing Address - Fax:256-533-3384
Practice Address - Street 1:1001 MONROE ST SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-5028
Practice Address - Country:US
Practice Address - Phone:256-533-3314
Practice Address - Fax:256-533-3384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL161235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty