| Concierge Speech Birmingham Llc | |
|
5461 11th Ave S Birmingham AL 35222-4041 | |
| (251) 401-1503 | |
| Not Available |
| Full Name | Concierge Speech Birmingham Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5461 11th Ave S, Birmingham, Alabama |
| Authorized Official Name and Position | Jillian Canary (SPEECH LANGUAGE PATHOLOGIST) |
| Authorized Official Contact | 2514011503 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Concierge Speech Birmingham Llc 5461 11th Ave S Birmingham AL 35222-4041 Ph: (251) 401-1503 | Concierge Speech Birmingham Llc 5461 11th Ave S Birmingham AL 35222-4041 Ph: (251) 401-1503 |
| NPI Number | 1740003482 |
|---|---|
| Provider Enumeration Date | 11/01/2024 |
| Last Update Date | 11/01/2024 |
| Medicare PECOS PAC ID | 2961931142 |
|---|---|
| Medicare Enrollment ID | O20250203001297 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740003482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Jillian Dominick Canary |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1427784016 PECOS PAC ID: 3870022056 Enrollment ID: I20250203001596 |
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