Organization Name: | KNOTTS SPEECH THERAPY SERVICES |
NPI Number: | 1073960209 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LUCI KNOTTS (SPEECH LANGUAGE PATHOLOGIST) |
Mailing Address: | 5210 Huckleberry Ln Moss Point |
State: | MS US |
Postal Code: | 395622203 |
Phone Number: | 2286238734 |
Fax Number: | 2284605120 |
NPI Enumeration Date: | 05/18/2016 |
NPI Last Update Date: | 05/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | S1068 |
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 |