Individual
MRS. MARTHA BATES BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
492 RIDGEWOOD DR, DAPHNE, AL 36526-8030
(828) 279-6949
Mailing address
492 RIDGEWOOD DR, DAPHNE, AL 36526-8030
(828) 279-6949
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5260
AL
235Z00000X
Speech-Language Pathologist
S4265
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05850766
—
MS
Enumeration date
06/14/2011
Last updated
11/07/2023
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