1447412218

Everything you always wanted to know about SLADE LANIER KATHERINE AUD 1 LANIER BAILEY KATHERINE but were afraid to ask.

SLADE LANIER KATHERINE AUD 1 LANIER BAILEY KATHERINE

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Provider Last Name Provider Middle Name Provider First Name Provider Credential Provider Other Name Type Code Provider Other Last Name Provider Other Middle Name Provider Other First Name
SLADE LANIER KATHERINE AUD 1 LANIER BAILEY KATHERINE
Gender:
Female
Enumeration date:
2008-07-01
Last update date:
2013-03-05
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state
AUD003801 Other GA AUDIOLOGY LICENSE GA
1108A Other AL AUDIOLOGY LICENSE AL

Taxonomies

Taxonomy State License Number Primary?
231H00000X Audiologist GA AUD003801 N

Phone Numbers

Type Number
Mailing Address Telephone Number 3343961635
Practice Location Address Telephone Number 3343961635
Mailing Address Fax Number 3343961684
Practice Location Address Fax Number 3343961684

Addresses

Type Address City State Postal Country
Mailing Address 7025 HALCYON PARK DR SUITE A MONTGOMERY AL 36117 AL
Practice Location Address 7025 HALCYON PARK DR SUITE A MONTGOMERY AL 36117 AL

Other NPI Records that share a phone number

NPI Name Address State City
1013001551 BORTON, BETTIE
Individual
7025 HALCYON PARK DR AL MONTGOMERY
1407226400 WHITE, GRACE
Individual
7025 HALCYON PARK DR STE A AL MONTGOMERY

Other NPI Records that share an address

NPI Name Address State City
1013001551 BORTON, BETTIE
Individual
7025 HALCYON PARK DR AL MONTGOMERY