Doctor Name: | HAZEL T CAMAGONG |
NPI Number: | 1205938156 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | S2478 |
Business Practice Address: | 394 Courthouse Rd Suite B Gulfport, MS - 395071865 |
Business Phone Number: | 2288961189 |
Business Fax Number: | 2288969989 |
Mailing Address: | Po Box 8419, BILOXI |
State: | MS |
Postal Code: | 395358087 |
Phone Number: | 2283885714 |
Fax Number: | 2283880017 |
NPI Enumeration Date: | 09/02/2006 |
NPI Last Update Date: | 03/31/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | S2478 |
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 |