Brenda Lee Douberly, MS,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3442 Issued in AL

Practice address

5950 Carmichael PL
Suite 100
Montgomery, AL 36117-2348

Phone

(334) 262-5744

Fax

(334) 262-5155

NPI assigned

May 14, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Brenda Lee McCue Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Prattville Pediatric Speech Clinic, LLC

  • Speech-Language Pathologist
  • Prattville, AL
  • NPI 1063972982
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368489600000",
    "number": "1487090692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5950 CARMICHAEL PL",
            "address_2": "SUITE 100",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361172348",
            "telephone_number": "334-262-5744",
            "fax_number": "334-262-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 CARMICHAEL PL",
            "address_2": "SUITE 100",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361172348",
            "telephone_number": "334-262-5744",
            "fax_number": "334-262-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUBERLY",
        "first_name": "BRENDA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "MS,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-14",
        "last_updated": "2013-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "3442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "MCCUE",
            "middle_name": "LEE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura Looney Dorsey, DPT
• Leandrea J'Neyel Dorsey, PHARMD
• Christopher J Dorvault, M.D.
• Pankil Prakashchandra Doshi, MD
• Adedoyin B Dosunmu-Ogunbi, M.D.
• Jessica Douglas
• Vernisha Chambers Douglas, RN
• Dove Physical Therapy, LLC
• Kelcie Brielle Downer, DDS
• David M Downs, MD

• Speech-Language Pathologist in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Speech-Language Pathologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.