Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Vernell S Forman, MA/CCC/SLP

Individual provider Speech-Language Pathologist · NPI 1770763823

Mrs. Vernell S Forman, MA/CCC/SLP is a Speech-Language Pathologist in Theodore, Alabama. Practices as a sole proprietor. Licensed in Alabama.

Licensed in
AL
In the registry since
2007
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Practice location Address checks out

3294A Dog River Rd
Theodore, AL 36582-2524
Phone: (251) 443-5154
Fax: (251) 661-2579
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 2648 (AL)

Record details

NPI number1770763823
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA/CCC/SLP
Sole proprietorYes
NPI enumeratedNovember 6, 2007
Last updated in NPPESNovember 6, 2007

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