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NPI 1104011964 · Assistive Technology Supplier Audiologist · Fairhope, AL
Provider details
- NPI number
- 1104011964
- Entity type
- Organization
- Primary specialty
- Assistive Technology Supplier AudiologistSpeech, Language and Hearing Service Providers
- Authorized official
- Richard Baker, Managing Member
Practice location
411 N Section St
Fairhope, AL 36532-2649
Phone: (251) 517-5060
Fax: (251) 517-5062
Mailing address
411 N Section St
Fairhope, AL 36532-2649
Registry dates
- Enumerated
- 2007-09-13
- Last updated
- 2007-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.