Organization
ORIGIN AUTISM DIAGNOSTIC CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEIGHTON B DEES II (OWNER)
(251) 554-4525
Entity
Organization
Contact information
Practice address
6349 PICCADILLY SQUARE DR STE B, MOBILE, AL 36609-5103
(251) 554-4525
Mailing address
8760 WINFORD WAY, MOBILE, AL 36619-4318
(251) 554-4525
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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