Provider Demographics
NPI:1285390625
Name:SPEECH IN THE MAGIC CITY
Entity type:Organization
Organization Name:SPEECH IN THE MAGIC CITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:EFFINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:205-401-0153
Mailing Address - Street 1:2024 3RD AVE N STE 205
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35203-3319
Mailing Address - Country:US
Mailing Address - Phone:205-538-0579
Mailing Address - Fax:
Practice Address - Street 1:2024 3RD AVE N STE 205
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35203-3319
Practice Address - Country:US
Practice Address - Phone:205-538-0579
Practice Address - Fax:205-628-8009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-10
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty