Active NPI
Elizabeth L Wycoff
- Speech-Language Pathologist
- Pelham, AL
National Provider Identifier
1821326307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2117
- Practice address
- 245 Cahaba Valley Pkwy
Suite 200
Pelham, AL 35124-2216 - Phone
- (205) 942-6820
- Fax
- (205) 942-5884
- NPI assigned
- Nov 23, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2117 | AL | Primary |
Addresses
Primary practice location
245 Cahaba Valley Pkwy
Suite 200
Pelham, AL 35124-2216
Mailing address
312 Bryan Dr
Ozark, AL 36360-1120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2117 | AL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258934400000",
"number": "1821326307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 BRYAN DR",
"city": "OZARK",
"state": "AL",
"postal_code": "363601120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 CAHABA VALLEY PKWY",
"address_2": "SUITE 200",
"city": "PELHAM",
"state": "AL",
"postal_code": "351242216",
"telephone_number": "205-942-6820",
"fax_number": "205-942-5884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYCOFF",
"first_name": "ELIZABETH",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-23",
"last_updated": "2009-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AL",
"license": "2117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pelham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.