NPI 1508916131 MRS. BRANDILYN MICHELLE CLARK-WILLIAMS CCC-SLP JACKSON MS. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Mrs. Brandilyn Michelle Clark-williams - NPI: 1508916131

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MRS. BRANDILYN MICHELLE CLARK-WILLIAMS
NPI Number: 1508916131
Entity Type Code: Individual (1)
Gender: F
Credentials: CCC-SLP
License Number: S3009
Business Practice Address: 711 Avignon Dr
Ridgeland, MS - 391575120
Business Phone Number: 6016056777
Business Fax Number: 6016058869
Mailing Address: 6245 Amblewood Dr,
JACKSON
State: MS
Postal Code: 392137906
Phone Number: 6019407120
Fax Number:
NPI Enumeration Date: 01/12/2007
NPI Last Update Date: 07/08/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 235Z00000X
License Number: S3009
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


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