Individual
MICHAEL ROBERT DEFIORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS,CCC-SLP
Contact information
Practice address
715 FAGAN SPRINGS DR SE, HUNTSVILLE, AL 35801-1850
(256) 468-2467
Mailing address
715 FAGAN SPRINGS DR SE, HUNTSVILLE, AL 35801-1850
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2543
AL
Other
Enumeration date
08/28/2017
Last updated
08/28/2017
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