Organization
PROVIDENCE SPEECH & LANGUAGE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LESLEY S. SELMAN M.S., CCC-SLP (PRESIDENT)
(205) 246-9345
Entity
Organization
Contact information
Practice address
3630 NORTHBROOK DR, SUITE D, NORTHPORT, AL 35473-5822
(205) 246-9345
Mailing address
3630 NORTHBROOK DR, SUITE D, NORTHPORT, AL 35473-5822
(205) 246-9345
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3366
AL
Other
Enumeration date
04/15/2016
Last updated
04/15/2016
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