Doctor Name: | MRS. BILLI J SUMRALL |
NPI Number: | 1578897047 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC/SLP |
License Number: | S2230 |
Business Practice Address: | 13053 Woodbridge Ct Gulfport, MS - 395032483 |
Business Phone Number: | 2285395278 |
Business Fax Number: | |
Mailing Address: | 13053 Woodbridge Ct, GULFPORT |
State: | MS |
Postal Code: | 395032483 |
Phone Number: | 2285395278 |
Fax Number: | |
NPI Enumeration Date: | 09/30/2009 |
NPI Last Update Date: | 09/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | S2230 |
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 |