Provider Demographics
NPI:1528735057
Name:ELLIOTT, DORIANNE L (CCC-SLP)
Entity type:Individual
Prefix:
First Name:DORIANNE
Middle Name:L
Last Name:ELLIOTT
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:OCCUPATIONAL THERAPY SERVICES INC
Mailing Address - Street 2:1952 N BRINDLEE MT PKWY
Mailing Address - City:ARAB
Mailing Address - State:AL
Mailing Address - Zip Code:35016
Mailing Address - Country:US
Mailing Address - Phone:256-931-3711
Mailing Address - Fax:
Practice Address - Street 1:304 ARAD THOMPSON RD NE
Practice Address - Street 2:
Practice Address - City:ARAB
Practice Address - State:AL
Practice Address - Zip Code:35016-2733
Practice Address - Country:US
Practice Address - Phone:256-572-4667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-24
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4953235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist