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Individual

HEATHER STALLINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MCD

Contact information

Practice address
103 INTERCOM DR, SUITE C, MADISON, AL 35758-2640
(256) 464-9464
(256) 325-9469
Mailing address
103 INTERCOM DR, SUITE C, MADISON, AL 35758-2640
(256) 464-9464
(256) 325-9469

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3454
AL
235Z00000X
Speech-Language Pathologist
PCET001675
GA
235Z00000X
Speech-Language Pathologist
SLP007875
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003126198A
GA
Enumeration date
10/11/2011
Last updated
06/04/2013
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