Provider Demographics
NPI:1659232981
Name:SUTTLES, DAJA MONAE
Entity type:Individual
Prefix:
First Name:DAJA
Middle Name:MONAE
Last Name:SUTTLES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4198 US HIGHWAY 431 STE B
Mailing Address - Street 2:
Mailing Address - City:ALBERTVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35950-0242
Mailing Address - Country:US
Mailing Address - Phone:256-486-2300
Mailing Address - Fax:256-486-9580
Practice Address - Street 1:4198 US HIGHWAY 431 STE B
Practice Address - Street 2:
Practice Address - City:ALBERTVILLE
Practice Address - State:AL
Practice Address - Zip Code:35950-0242
Practice Address - Country:US
Practice Address - Phone:256-486-2300
Practice Address - Fax:256-486-9580
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-18
Last Update Date:2025-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5989235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty