Individual
ELISA COLGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
432 65TH ST STE B, TUSCALOOSA, AL 35405-6545
(205) 534-0128
Mailing address
432 65TH ST STE B, TUSCALOOSA, AL 35405-6545
(205) 534-0128
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4775
AL
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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