Doctor Name: | MS. VICKIE PRICE |
NPI Number: | 1427499706 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | S0222 |
Business Practice Address: | 1901 Briar Ridge Rd Tupelo, MS - 388045903 |
Business Phone Number: | 6628440675 |
Business Fax Number: | 6628426838 |
Mailing Address: | Po Box 428, ORCHARD PARK |
State: | NY |
Postal Code: | 141270428 |
Phone Number: | 7166624955 |
Fax Number: | 7166625826 |
NPI Enumeration Date: | 07/15/2013 |
NPI Last Update Date: | 07/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | S0222 |
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 |