Individual
MARY ANN ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
502 GAUTIER ST, TUSKEGEE, AL 36083-2600
(601) 276-3909
(601) 276-3938
Mailing address
202 TALLYHO DR, AUBURN, AL 36832-8624
(334) 209-1976
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2871
AL
235Z00000X
Speech-Language Pathologist
SLP003757
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208585333A
—
GA
Enumeration date
07/29/2009
Last updated
01/10/2012
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