Basic Information
Provider Information
NPI: 1497984538
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BELL
FirstName: MALEIA
MiddleName: BROOKE
NamePrefix: MRS.
NameSuffix:  
Credential: MS, CCC-SLP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 97
Address2:  
City: CROSSVILLE
State: AL
PostalCode: 359620097
CountryCode: US
TelephoneNumber: 2565284287
FaxNumber:  
Practice Location
Address1: 245 CAHABA VALLEY PKWY STE 200
Address2:  
City: PELHAM
State: AL
PostalCode: 351242217
CountryCode: US
TelephoneNumber: 2059426820
FaxNumber: 2059425584
Other Information
ProviderEnumerationDate: 07/10/2009
LastUpdateDate: 07/10/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
235Z00000X2758ALY Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 

No ID Information.


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