Provider Demographics
NPI:1184143265
Name:TURNER, RICHARD (MS,CCC/SLP)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:
Last Name:TURNER
Suffix:
Gender:M
Credentials:MS,CCC/SLP
Other - Prefix:MR
Other - First Name:RICK
Other - Middle Name:
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS,CCC/SLP
Mailing Address - Street 1:1960 HICKORY ROAD
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA
Mailing Address - State:AL
Mailing Address - Zip Code:35216-1402
Mailing Address - Country:US
Mailing Address - Phone:205-529-1444
Mailing Address - Fax:
Practice Address - Street 1:1960 HICKORY RD
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35216-1402
Practice Address - Country:US
Practice Address - Phone:205-529-1444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0756235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist