Organization
EFFECTIVE COMMUNICATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACI INGRAM M.S., CCC/SLP (SPEECH LANGUAGE PATHOLOGIST/CEO)
18668494608
Entity
Organization
Contact information
Practice address
285 CHATEAU DR SW, HUNTSVILLE, AL 35801-6401
(866) 849-4608
Mailing address
PO BOX 62, BROWNSBORO, AL 35741-0062
(866) 849-4608
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
588210
AL
235Z00000X
Speech-Language Pathologist
14034119
AL
235Z00000X
Speech-Language Pathologist
2455
AL
235Z00000X
Speech-Language Pathologist
Primary
2464
AL
235Z00000X
Speech-Language Pathologist
3145
AL
Other
Enumeration date
12/16/2011
Last updated
12/16/2011
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