Provider Demographics
NPI:1457371312
Name:MARSHALL, NANCY BOWLING (PHD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:BOWLING
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 VESTAVIA FOREST DR
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA HILLS
Mailing Address - State:AL
Mailing Address - Zip Code:35216-2560
Mailing Address - Country:US
Mailing Address - Phone:205-823-8180
Mailing Address - Fax:205-822-7942
Practice Address - Street 1:2800 VESTAVIA FOREST DR
Practice Address - Street 2:
Practice Address - City:VESTAVIA HILLS
Practice Address - State:AL
Practice Address - Zip Code:35216-2560
Practice Address - Country:US
Practice Address - Phone:205-823-8180
Practice Address - Fax:205-822-7942
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1085103G00000X
AL627235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist