Organization
BEACH SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LIA DOUGLAS MS CCC SLP (SPEECH LANGUAGE PATHOLOGIST/OWNER)
(251) 610-8000
Entity
Organization
Contact information
Practice address
309 E 21ST AVE STE H, GULF SHORES, AL 36542-3657
(251) 610-8000
(251) 317-3321
Mailing address
929 E 23RD AVE, GULF SHORES, AL 36542-3125
(251) 610-8000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
244605
—
AL
Enumeration date
01/29/2020
Last updated
08/12/2024
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