Montgomery, Alysha Mauldin

Montgomery, Alysha Mauldin is an sole proprietor health care provider with primary practice located at 212 4Th Ave Se Ste 100 , Cullman AL 35055-3662. 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. Montgomery, Alysha Mauldin can be contacted via phone (256) 735-1727.

Contact Information

Primary practice address
212 4Th Ave Se Ste 100 Cullman AL 35055-3662
Fax: (256) 735-1211
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2044 Alabama

Profile Details

NPI number 1164557062
LBN Legal business name Montgomery, Alysha Mauldin
Credentials M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2007
Last updated Jul 9th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164557062 NPPES
Alabama Other 51509017 BLUE CROSS BLUE SHIELD AL

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