Provider Demographics
NPI:1740451541
Name:BRAZIL, TODD VANDERFORD (MCD, CCC-A)
Entity type:Individual
Prefix:MR
First Name:TODD
Middle Name:VANDERFORD
Last Name:BRAZIL
Suffix:
Gender:M
Credentials:MCD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 10TH AVE S
Mailing Address - Street 2:SUITE 502
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-1200
Mailing Address - Country:US
Mailing Address - Phone:205-933-2951
Mailing Address - Fax:205-933-5893
Practice Address - Street 1:2700 10TH AVE S
Practice Address - Street 2:SUITE 502
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-1200
Practice Address - Country:US
Practice Address - Phone:205-933-2951
Practice Address - Fax:205-933-5893
Is Sole Proprietor?:No
Enumeration Date:2008-03-19
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0934A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist