Vernell S Forman in Theodore - Speech-language Pathologist
Vernell S Forman - NPI 1770763823
Vernell S Forman is a Speech-language Pathologist in Theodore, Alabama. Vernell S Forman practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Vernell S Forman is 1770763823. The last update date is 2007-11-06.
Vernell S Forman's current location address is 3294a Dog River Rd, Theodore, Alabama. You can contact this provider via phone number 2514435154 and fax number 2516612579. The mailing address for Vernell S Forman is 3294a Dog River Rd, Theodore, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vernell S Forman |
|---|---|
| Address | 3294a Dog River Rd, Theodore, Alabama |
| Phone Number | 2514435154 |
| Fax Number | 2516612579 |
| Sole Proprietor | Y |
| Credentials | MA./CCC/SL |
NPI Number Detail
| NPI Number | 1770763823 |
|---|---|
| Provider Enumeration Date | 2007-11-06 |
| Last Updated Date | 2007-11-06 |
Provider Mailing Address Detail
| Address | 3294a Dog River Rd |
|---|---|
| City | Theodore |
| State | Alabama (AL) |
| Post Code | 365822524 |
| Phone Number | 2514435154 |
| Fax Number | 2516612579 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 2648 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 289025 | AL | SPEECH-LANGUAGE PATHOGIST |
Post Comment/ Review Below
What is the Vernell S Forman's 1770763823?
The Vernell S Forman's NPI (National Provider Identifier) Number is 1770763823. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Vernell S Forman is geographically located?
The Vernell S Forman is physically situated at the following location: 3294A Dog River Rd, Theodore, AL, 365822524.
What is the Vernell S Forman's area of specialization and corresponding taxonomy classification?
The Vernell S Forman's specialty field is Speech-language Pathologist, and it falls under the taxonomy code 235Z00000X, which categorizes healthcare providers based on their specialties.
When was the Vernell S Forman's 1770763823 issued?
The Vernell S Forman's 1770763823 was issued on 2007-11-06.
When was the information regarding Vernell S Forman, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Vernell S Forman, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-11-06.