Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770763823 Individual Practitioner Female Practitioner

Vernell S Forman , MA, CCC, SLP

Speech-Language Pathologist • Theodore, AL

Professional Overview & Biography Verified Profile Summary

Vernell Forman, MA, CCC, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Theodore, AL. Practice services are available at 3294A DOG RIVER RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3294a Dog River Rd

Theodore, AL 365822524

Telephone 2514435154
Fax 2516612579

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Theodore, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Theodore, AL (1814 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License AL 2648

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Speech-Language Pathogist
00289025 (AL)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 06, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location November 06, 2007

Registered at 3294A DOG RIVER RD, THEODORE, AL 365822524 (Tel: 2514435154)

📍
Updated Business Mailing Address November 06, 2007

Registered at 3294A DOG RIVER RD, THEODORE, AL 365822524 (Tel: 2514435154)

👤
Provider Name / Credentials Updated November 06, 2007

Recorded as VERNELL FORMAN, MA./CCC/SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2007

Speech-Language Pathologist (License #2648 in AL)

🟢
Initial NPI Registration & Enumeration November 06, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770763823
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 06, 2007
Last Update: November 06, 2007
Sole Proprietor: Yes

Mailing Address

3294a Dog River Rd

Theodore, AL 365822524

Phone: 2514435154

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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