Organization Name: | SPEECH LANGUAGE PATHOLOGY |
NPI Number: | 1467671990 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFALYN TRAMMELL (DIRECTOR PRESIDENT) |
Mailing Address: | 1929 Spillway Rd Ste A Brandon |
State: | MS US |
Postal Code: | 390476079 |
Phone Number: | 6019925370 |
Fax Number: | 6019925370 |
NPI Enumeration Date: | 04/24/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | S0692 |
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 |