Hudson, Mary Ann
Hudson, Mary Ann is an sole proprietor health care provider with primary practice located at 703 13Th St , Phenix City AL 36867-5038. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Hudson, Mary Ann can be contacted via phone (334) 448-5636.Contact Information
Primary practice address
703 13Th St
Phenix City AL 36867-5038
Phone: (334) 448-5636
Fax: (334) 448-5637
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2982 | Alabama |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 007232 | Georgia |
Profile Details
| NPI number | 1720205776 |
|---|---|
| LBN Legal business name | Hudson, Mary Ann |
| Credentials | M.ED.CCCSLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 19th, 2007 |
| Last updated | Jun 19th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720205776 | NPPES |
| Alabama | MEDICAID | 1265764500 | |
| Alabama | MEDICAID | 129089 |
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