Individual
JASMINE ENISE SPRUILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
245 CAHABA VALLEY PKWY, SUITE 200, PELHAM, AL 35124-2216
(205) 942-6820
(205) 942-5627
Mailing address
110 REBECCA PINES DR, MADISON, AL 35758-8295
(256) 489-4144
(256) 650-5041
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2393
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-30839
BLUE CROSS/BLUE SHIELD
AL
Enumeration date
08/12/2006
Last updated
07/08/2007
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