NPI 1770763823

Vernell S Forman, MACCCSLP

Practitioner Speech-Language Pathologist Theodore, AL

Practice location

Address: 3294a Dog River Rd, Theodore, AL 36582-2524
Phone: (251) 443-5154
Fax: (251) 661-2579

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 2648 (AL)

Other Speech-Language Pathologist providers in Alabama →

Registry record

NPI: 1770763823
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Nov 2007
Record last updated: 6 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.