Basic Information
| Provider Information | |||||||||
| NPI: | 1386394740 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ANTHONY | ||||||||
| FirstName: | ELINOR | ||||||||
| MiddleName: | CLAY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 759 EUCLID CIR | ||||||||
| Address2: | |||||||||
| City: | MOUNTAIN BRK | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352132636 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2055669421 | ||||||||
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| Practice Location | |||||||||
| Address1: | 315 6TH ST S | ||||||||
| Address2: | |||||||||
| City: | ONEONTA | ||||||||
| State: | AL | ||||||||
| PostalCode: | 351211828 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2052742244 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/28/2022 | ||||||||
| LastUpdateDate: | 03/28/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/27/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 5121 | AL | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.