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SPEECH DEPOT NPI 1083062889


NPI Information

NPI: 1083062889
Provider Name: SPEECH DEPOT
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
665 S PEAR ORCHARD RD
SUITE 106-185
RIDGELAND, MS
ZIP 39157
Phone: (601) 757-6954
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SPEECH DEPOT is a speech language pathologist in Ridgeland, MS. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. SPEECH DEPOT NPI is 1083062889. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

665 S PEAR ORCHARD RD
SUITE 106-185
RIDGELAND, MS
ZIP 39157-861
Phone: (601) 757-6954

The provider's authorized official is Jameka Hooks-tenort .
The authorized official title is Speech-language Pathologist and has the following contact phone number (769) 798-7378.

The enumeration date for this NPI number is 6/2/2016 and was last updated on 4/5/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language PathologistS3351MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1S3351OTHERMISSISSIPPIMS HEALTH LICENSURE
212130639OTHERMISSISSIPPIAMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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