Individual
MRS. CYNTHIA LYNN DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2125 E SOUTH BLVD, MONTGOMERY, AL 36116-2409
(334) 288-0240
(334) 288-7171
Mailing address
12 MEADOW LANE CT, ELMORE, AL 36025-2112
(334) 285-5794
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2093
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12052114
ASHA
AL
01
—
2093
ABESPA
AL
01
—
51511335DEV
BLUE CROSS BLUE SHIELD
AL
Enumeration date
01/26/2007
Last updated
07/08/2007
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