Origin Autism Diagnostic Clinic INC

NPI #1700617545 in Mobile, Alabama

Provider Information

NPI Number
1700617545
Entity Type
Organization
Organization Name
Origin Autism Diagnostic Clinic INC
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Aug 13, 2024
Last Updated
Aug 13, 2024

Practice Location

Address
6349 PICCADILLY SQUARE DR STE B
City
Mobile
State
Alabama
ZIP Code
36609-5103
Phone
(251) 554-4525

Authorized Official

Name
MR. LEIGHTON B DEES II
Title
OWNER
Phone
(251) 554-4525

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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