Doctor Name: | MRS. VISTA SULLIVAN HERRING |
NPI Number: | 1053623819 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | S3387 |
Business Practice Address: | 4522 Highway 84 E Meadville, MS - 396538159 |
Business Phone Number: | 6013847559 |
Business Fax Number: | |
Mailing Address: | Po Box 391, MEADVILLE |
State: | MS |
Postal Code: | 396530391 |
Phone Number: | 6013847559 |
Fax Number: | |
NPI Enumeration Date: | 07/09/2010 |
NPI Last Update Date: | 08/11/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | S3387 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |