Individual
ALYSHA MAULDIN MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
212 4TH AVE SE STE 100, CULLMAN, AL 35055-3662
(256) 735-1727
(256) 735-1211
Mailing address
110 COUNTY ROAD 392, CULLMAN, AL 35057-4088
(256) 734-8158
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2044
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51509017
BLUE CROSS BLUE SHIELD AL
AL
Enumeration date
02/22/2007
Last updated
07/09/2007
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