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List Your Practice (free, no credit card required. Upgrade if you get referrals)
Your Professional Title:*
Your Email*:
 Will not be shown on your profile. Our system will forward messages to this address.
Retype Email:*
Create Password:*  (at least 5 chars)
First Name:*
Last Name:*
Designations:  E.g. L.Ac. (Don't repeat your name here)  chars left
Practice Name:   chars left
Leave this blank if you don't use a practice name. Don't repeat your own name here.
Headline 1:*   chars left.
The shorter your headlines are the bigger their font will be. Edit your profile later and experiment.
Headline 2:   chars left.
Profile Display:*
Patients Contact Me By:*
Profile URL:* SpeechTherapyNext.com/Profile/   chars left
Choose your personalized profile page URL here. Keep it meaningful and simple (i.e. /YourName).
Must contain only alphanumeric characters (a-z and/or 0-9) and "_" or "-" instead of spaces.
Example: If you enter JohnSmith your profile URL will be: SpeechTherapyNext.com/Profile/JohnSmith
Address:  If you are a mobile practice, leave this blank.
Suite/Apt #:
City:*
State/Country:*  Don't see your country? Let us know and we will add it and update your listing.
Zip/Postal Code:*  Only use 5 chars for U.S. zip codes.
Phone:*  Will not show on your profile if you choose "Patients Can Contact Me by Email Only" above.
Click to add a 2nd address  
Alt. Address:
Alt. Suite/Apt #:
Alt. City:
Alt. State/Country:
Alt. Zip/Postal Code:  Only use 5 chars for U.S. zip codes
Alt. Phone:
Website:  E.g. www.mysite.com
Hours:
Cost/Session:
Payments Accepted:
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E.g. cash, check, type of insurance, credit cards.
License Info:
About:*
(300 chars min)
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Bio:
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Education/Training:
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Memberships/Associations:
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Other Languages:
Practice Areas/Issues Treated:*
Your Certifications:*
Helpful links for potential clients. These display on your profile as additional information for clients.
• All links must have descriptions.
Link #1:   chars left
E.g. http://feelbetter.com
Link #1 Description:   chars left
E.g. Daily routines that can improve your health and wellness
Link #2:   chars left
Link #2 Description:   chars left
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Link #3 Description:   chars left
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Link #4 Description:   chars left
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Link #5 Description:   chars left
Allow Recommendations: If checked, you can get recommendations from friends and colleagues, similar to LinkedIn.
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