MRS. Vernell S Forman, MA./CCC/SLP

NPI #1770763823 in Theodore, Alabama

Provider Information

NPI Number
1770763823
Entity Type
Individual
Name
MRS. Vernell S Forman, MA./CCC/SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
MA./CCC/SLP
Enumeration Date
Nov 6, 2007
Last Updated
Nov 6, 2007

Practice Location

Address
3294A DOG RIVER RD
State
Alabama
ZIP Code
36582-2524
Phone
(251) 443-5154

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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