Individual
MRS. MARILYN S. HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
401 BAY ST # A, GADSDEN, AL 35901-5107
(256) 546-2799
Mailing address
120 JULIA DR, GADSDEN, AL 35901-9047
(256) 442-4006
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2277
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51525952
BCBS
AL
05
—
890012700
—
AL
Enumeration date
02/27/2007
Last updated
05/14/2008
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