Mrs Vernell S Forman, MA/CCC/SLP is a
Speech-language Pathologist based in Theodore, Alabama. Mrs Vernell S Forman is licensed to practice in Alabama (license number 2648) and her current practice location is
3294a Dog River Rd, Theodore, Alabama. She can be reached at her office (for appointments etc.) via phone at
(251) 443-5154.
NPI number for Mrs Vernell S Forman is 1770763823 and her current mailing address is 3294a Dog River Rd, Theodore, Alabama. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770763823.
Healthcare Provider's Profile
Full Name | Mrs Vernell S Forman |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 3294a Dog River Rd, Theodore, Alabama |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1770763823
- Provider Enumeration Date: 11/06/2007
- Last Update Date: 11/06/2007
Medical Identifiers
Medical identifiers for Mrs Vernell S Forman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770763823 | NPI | - | NPPES |
00289025 | Other | AL | SPEECH-LANGUAGE PATHOGIST |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 2648 (Alabama) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Vernell S Forman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Vernell S Forman, MA/CCC/SLP 3294a Dog River Rd, Theodore, AL 36582-2524 Ph: (251) 443-5154 | Mrs Vernell S Forman, MA/CCC/SLP 3294a Dog River Rd, Theodore, AL 36582-2524 Ph: (251) 443-5154 |
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