Provider Demographics
NPI:1427239789
Name:MCCLUNG, ROBERT DICK (AUD)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:DICK
Last Name:MCCLUNG
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:244 INVERNESS CENTER DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-4834
Mailing Address - Country:US
Mailing Address - Phone:205-637-0731
Mailing Address - Fax:205-637-0733
Practice Address - Street 1:244 INVERNESS CENTER DR
Practice Address - Street 2:SUITE 100
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-4834
Practice Address - Country:US
Practice Address - Phone:205-637-0731
Practice Address - Fax:205-637-0733
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-15
Last Update Date:2009-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL672A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist