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MRS. CHERYL ANNETTE BRANSCUM M.A., CCC-SLP

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1104908920

Individual Registrant:
MRS. CHERYL ANNETTE BRANSCUM M.A., CCC-SLP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2115 HAND AVE  BAY MINETTE, AL 36507-4149 US
Tel: 251-937-2823  Fax: 251-937-2821

Contact information for business:
8839 BAINBRIDGE DR  DAPHNE, AL 36526-8331 US
Tel: 501-733-5270  Fax: --

Registration Information:
NPI: 1104908920
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
AL3661
N235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
ARSP#1342

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
141346721AR05




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