Doctor Name: | MRS. MARY KATHERINE OGLESBY |
NPI Number: | 1790993517 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MCD, CCC-SLP |
License Number: | 2818 |
Business Practice Address: | 1079 County Road 176 Guntown, MS - 388498521 |
Business Phone Number: | 6622313179 |
Business Fax Number: | 6628693618 |
Mailing Address: | 1079 County Road 176, GUNTOWN |
State: | MS |
Postal Code: | 388498521 |
Phone Number: | 6622313179 |
Fax Number: | 6628693618 |
NPI Enumeration Date: | 05/18/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2818 |
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 |