# CONCIERGE SPEECH BIRMINGHAM LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740003482
- **Authorized official:** JILLIAN CANARY (SPEECH LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (251) 401-1503

## Contact information

- **Practice address:** 5461 11TH AVE S, BIRMINGHAM, AL 35222-4041
- **Practice address phone:** (251) 401-1503
- **Mailing address:** 5461 11TH AVE S, BIRMINGHAM, AL 35222-4041
- **Mailing address phone:** (251) 401-1503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/01/2024
- **Last updated:** 11/01/2024