Provider Demographics
NPI:1922565753
Name:SPEIGHTS ATKINS, MARISHA (PHD CCC-SLP)
Entity Type:Individual
Prefix:PROF
First Name:MARISHA
Middle Name:
Last Name:SPEIGHTS ATKINS
Suffix:
Gender:F
Credentials:PHD CCC-SLP
Other - Prefix:PROF
Other - First Name:MARISHA
Other - Middle Name:
Other - Last Name:SPEIGHTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD, CCC-SLP
Mailing Address - Street 1:1199 HALEY CENTER
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36849-0001
Mailing Address - Country:US
Mailing Address - Phone:334-844-9634
Mailing Address - Fax:
Practice Address - Street 1:1199 HALEY CENTER
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36849-0001
Practice Address - Country:US
Practice Address - Phone:334-844-9634
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-28
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4199235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist