Individual
STEPHANIE BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA-CCC/SLP
Contact information
Practice address
500 JOHN ALDRIDGE DR, TUSCUMBIA, AL 35674-3000
(256) 383-4541
Mailing address
2238 CLOYD BLVD, FLORENCE, AL 35630-1525
(256) 554-0294
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1274
AL
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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