Individual
JENNA R SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. S., CCC-SLP
Contact information
Practice address
1701 MAIN AVE SW, SUITE G, CULLMAN, AL 35055-5299
(256) 775-3737
(256) 775-3738
Mailing address
1908 FLINT RD SE, DECATUR, AL 35601-6031
(256) 340-9708
(256) 340-9624
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2663
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003819608
GROUP NPI
AL
05
—
529917620
—
AL
Enumeration date
09/05/2008
Last updated
10/30/2014
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