Speech Language Pathology in Brandon - Speech-language Pathologist
Speech Language Pathology - NPI 1467671990
Speech Language Pathology is a Speech-language Pathologist in Brandon, Mississippi. Speech Language Pathology practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Speech Language Pathology is 1467671990. The last update date is 2020-08-22.
Speech Language Pathology's current location address is 1929 Spillway Rd Ste A, Brandon, Mississippi. You can contact this provider via phone number 6019925370 and fax number 6019925370. The mailing address for Speech Language Pathology is 1929 Spillway Rd Ste A, Brandon, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Speech Language Pathology |
|---|---|
| Address | 1929 Spillway Rd Ste A, Brandon, Mississippi |
| Phone Number | 6019925370 |
| Fax Number | 6019925370 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR P |
|---|---|
| Authorized Official Name | Trammell Jeffalyn |
| Credentials | M.S.,C.C.C |
| Telephone Number | 6019925370 |
NPI Number Detail
| NPI Number | 1467671990 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1929 Spillway Rd Ste A |
|---|---|
| City | Brandon |
| State | Mississippi (MS) |
| Post Code | 390476079 |
| Phone Number | 6019925370 |
| Fax Number | 6019925370 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | S0692 |
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Definition: 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. Spe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9016147 | MS | -- |
Post Comment/ Review Below
What is the Speech Language Pathology's unique identification number?
The Speech Language Pathology has been assigned the NPI (National Provider Identifier) Number 1467671990 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Speech Language Pathology?
The Speech Language Pathology is situated at 1929 Spillway Rd Ste A, in the city of Brandon, state of MS, with the zip code 390476079.
What is Speech Language Pathology's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Speech Language Pathology is Speech-language Pathologist, and the corresponding taxonomy classification code for this specialized field is 235Z00000X.
When was the Speech Language Pathology's 1467671990 issued?
The Speech Language Pathology's 1467671990 was issued on 2007-04-24.
When was the information regarding Speech Language Pathology, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Speech Language Pathology, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.