Lewis Bartley Alford, M.S. CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Madison, FL

NPI 1154057438 · NPPES record last updated Jul 28, 2022

Key facts

NPI
1154057438
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SA4255 (FL)
Practice address
235 SW Dade St Ste B
Madison, FL 32340-2363
Phone
(850) 973-7199
NPI assigned
Jul 28, 2022
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SA4255FLMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA4255 FL Yes

Addresses

Primary practice location

235 SW Dade St Ste B
Madison, FL 32340-2363

Mailing address

PO Box 563
Madison, FL 32341-0563
Phone (850) 973-7199

Other providers in Madison, FL

All providers in Madison, FL · Speech-Language Pathologist in Florida

Sources for this page

Verify at the official NPI Registry.