Organization
MADISON SPEECH ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHEILA P. FULLER M.C.D.,CCC-SLP (PRESIDENT)
(256) 464-9464
Entity
Organization
Contact information
Practice address
103 INTERCOM DR, SUITE C, MADISON, AL 35758-2640
(256) 464-9464
(256) 325-9469
Mailing address
103 INTERCOM DR, SUITE C, MADISON, AL 35758-2640
(256) 464-9464
(256) 325-9469
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2301
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51536066
BLUE CROSS BLUE SHIELD
AL
05
—
529929330
—
AL
Enumeration date
07/24/2007
Last updated
01/18/2013
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