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Individual

MR. TERRY D DOUGLAS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
12000 TURNMEYER DR SE, HUNTSVILLE, AL 35803-3358
(256) 881-6717
Mailing address
2516 HOFFMAN DR, HUNTSVILLE, AL 35810
(256) 783-4732

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2510
AL

Other

Enumeration date
10/10/2018
Last updated
10/10/2018
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