Organization
EAT. TALK. PLAY. THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH CHANTE NELSON (SLP)
(205) 495-4467
Entity
Organization
Contact information
Practice address
400 19TH ST E, JASPER, AL 35501-5416
(205) 495-4467
Mailing address
11774 STATE HIGHWAY 253, BRILLIANT, AL 35548-3803
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
10/08/2022
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