Individual
ANGIE SMITH PRUETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
2970 LORNA RD, BIRMINGHAM, AL 35216-4506
(205) 981-8900
Mailing address
2620 RIVER HAVEN LN, BIRMINGHAM, AL 35244-1273
(205) 419-0737
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2190
AL
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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