Individual
ALICE CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
620 N ALLEGHANEY AVE, ODESSA, TX 79761-4408
(432) 332-8244
Mailing address
620 N ALLEGHANEY AVE, ODESSA, TX 79761-4408
(432) 332-8244
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14497
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004579101
—
TX
Enumeration date
06/01/2007
Last updated
08/30/2023
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