Individual
BLAIR HENDERSON PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
7088 UNIVERSITY COURT, MONTGOMERY, AL 36117
(334) 396-1400
Mailing address
7088 UNIVERSITY CT, MONTGOMERY, AL 36117-6992
(334) 396-1400
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3789
AL
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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