Individual
MRS. JULIE B FORTENBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD, CCC-A
Contact information
Practice address
1948 ALABAMA HWY 157, SUITE 410, CULLMAN, AL 35058-0643
(256) 737-0368
(256) 734-9530
Mailing address
833 SAINT VINCENTS DR, SUITE 402, BIRMINGHAM, AL 35205-1606
(205) 933-9236
(205) 933-9213
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1007A
AL
237600000X
Audiologist-Hearing Aid Fitter
1007A
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118010
—
AL
Enumeration date
09/26/2008
Last updated
03/29/2014
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