Organization
PRATTVILLE PEDIATRIC SPEECH CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA DOUBERLY MS CCC SLP (OWNER/MEMBER)
(334) 730-1644
Entity
Organization
Contact information
Practice address
696 SILVER HILLS DR STE 111, PRATTVILLE, AL 36066-6184
(334) 730-1644
(334) 730-1645
Mailing address
696 SILVER HILLS DR STE 111, PRATTVILLE, AL 36066-6184
(334) 730-1644
(334) 730-1645
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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