Individual
SANDRA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1217 CULLMAN SHOPPING CTR NW, CULLMAN, AL 35055-2859
(256) 739-2992
Mailing address
108 HELEN WARREN VOGEL ST NE, HANCEVILLE, AL 35077-5190
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1088
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1088
SPEECH THERAPIST LICENSE
AL
Enumeration date
05/29/2007
Last updated
07/08/2007
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