Individual
JENNIFER BANGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED./SLP
Contact information
Practice address
3057 LORNA RD STE 220, BIRMINGHAM, AL 35216-4518
(205) 978-9939
Mailing address
3057 LORNA RD STE 220, BIRMINGHAM, AL 35216-4518
(205) 978-9939
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2091
AL
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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