Provider Demographics
NPI:1053452896
Name:PRESLEY, CYNTHIA HEATON (MS CCC SLP)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:HEATON
Last Name:PRESLEY
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 244023
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36124-4023
Mailing Address - Country:US
Mailing Address - Phone:334-244-3440
Mailing Address - Fax:334-244-3906
Practice Address - Street 1:7041 SENATORS DRIVE, LIBERAL ARTS BLDG
Practice Address - Street 2:ROOM 110
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117
Practice Address - Country:US
Practice Address - Phone:334-244-3440
Practice Address - Fax:334-244-3906
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL869235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51517338PREOtherBLUE CROSS BLUE SHIELD