Organization
PHENIX SPEECH AND LANGUAGE SERVICES
Active
Other names
Legacy Outpatient Rehab Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY ANN HUDSON M.EDCCC (SPEECH LANGUAGE PATHOLOGIST)
(334) 468-3032
Entity
Organization
Contact information
Practice address
703 13TH ST, PHENIX CITY, AL 36867-5038
(334) 448-5636
(334) 448-5637
Mailing address
703 13TH ST, PHENIX CITY, AL 36867-5038
(334) 448-5636
(334) 448-5637
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3982
AL
Other
Enumeration date
02/11/2010
Last updated
06/19/2014
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