| Mary Ann Hudson, MEDCCCSLP | |
|
703 13th St, Phenix City, AL 36867-5038 | |
| (334) 448-5636 | |
| (334) 448-5637 |
| Full Name | Mary Ann Hudson |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 703 13th St, Phenix City, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720205776 | NPI | - | NPPES |
| 1265764500 | Medicaid | AL | |
| 129089 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 2982 (Alabama) | Primary |
| 235Z00000X | Speech-language Pathologist | 007232 (Georgia) | Secondary |
| Provider Name | Phenix Speech And Language Services |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1265764500 PECOS PAC ID: 2769623982 Enrollment ID: O20130730000560 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Ann Hudson, MEDCCCSLP 703 13th St, Phenix City, AL 36867-5038 Ph: (334) 448-5636 | Mary Ann Hudson, MEDCCCSLP 703 13th St, Phenix City, AL 36867-5038 Ph: (334) 448-5636 |
Mrs. Kristin Edmonson Campbell, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3715 Us Highway 431 N, Phenix City, AL 36867 Phone: 334-732-2200 | |
Phenix Speech And Language Services Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 703 13th St, Phenix City, AL 36867 Phone: 334-448-5636 Fax: 334-448-5637 | |
Mrs. Jennifer Marie Widener, MCD, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1720 Knowles Rd, Phenix City, AL 36869 Phone: 334-291-0485 | |
Brandy Bratcher Bickley, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1720 Knowles Rd, Phenix City, AL 36869 Phone: 334-291-0485 |