Provider Demographics
NPI:1841457264
Name:POINTER, ANDREA WALKER (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:WALKER
Last Name:POINTER
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25833 HIGHWAY 181
Mailing Address - Street 2:
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-6101
Mailing Address - Country:US
Mailing Address - Phone:251-583-0904
Mailing Address - Fax:251-625-6515
Practice Address - Street 1:25833 HIGHWAY 181
Practice Address - Street 2:
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-6101
Practice Address - Country:US
Practice Address - Phone:251-583-0904
Practice Address - Fax:251-625-6515
Is Sole Proprietor?:No
Enumeration Date:2008-05-22
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1465235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51546238OtherBLUE CROSS AND BLUE SHIELD