Individual
EMILY WISE ETHRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
120 OSLO CIR, BIRMINGHAM, AL 35211-5965
(205) 944-3944
(205) 413-4914
Mailing address
120 OSLO CIR, BIRMINGHAM, AL 35211-5965
(205) 944-3944
(205) 413-4914
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4765
AL
Other
Enumeration date
02/10/2021
Last updated
11/08/2024
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