Individual
RANDI ANNA ACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, CCC-SLP
Contact information
Practice address
2804 GREENHILL BLVD NW STE 102, FORT PAYNE, AL 35968-3067
(256) 979-1222
Mailing address
2804 GREENHILL BLVD NW STE 102, FORT PAYNE, AL 35968-3067
(256) 979-1222
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3091
AL
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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