Individual provider · NPI-1

Teran Renee Fulford, Speech Therapist

Speech-Language Pathologist, · Prattville, AL

NPI number1790958858
StatusActive
Last updated in NPPESApr 10, 2008

Details

NPI
1790958858
Entity type
Individual (NPI-1)
Name
Teran Renee Fulford
Credential
Speech Therapist
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 10, 2008
Last updated
Apr 10, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,1546ALYes

Practice location

298 Jay St
Prattville, AL 36066-6062

Phone 334-361-6008 · Fax 334-491-0500

Mailing address

1937 Tara Dr
Prattville, AL 36066-7526

Phone 334-491-0148

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Speech-Language Pathologist, providers in Prattville, AL