Individual
MRS. CHERYL ANNETTE BRANSCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
2115 HAND AVE, BAY MINETTE, AL 36507-4149
(251) 937-2823
(251) 937-2821
Mailing address
8839 BAINBRIDGE DR, DAPHNE, AL 36526-8331
(501) 733-5270
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3661
AL
235Z00000X
Speech-Language Pathologist
SP#1342
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141346721
—
AR
Enumeration date
10/20/2006
Last updated
06/24/2015
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