Organization Name: | USM DUBARD SCHOOL |
NPI Number: | 1770612442 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MAUREEN K MARTIN (DIRECTOR) |
Mailing Address: | 118 College Dr # 10035 Hattiesburg |
State: | MS US |
Postal Code: | 394060001 |
Phone Number: | 6012665223 |
Fax Number: | 6012666763 |
NPI Enumeration Date: | 03/05/2007 |
NPI Last Update Date: | 06/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |