Individual
NANCY L MCCOLLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35249-1900
(205) 934-4011
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
900
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051511957
BCBS OF AL
AL
Enumeration date
08/17/2006
Last updated
05/28/2011
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