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Speech-Language Pathologist · Ridgeland, MS

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At a glance

1 Professional Pkwy, Ridgeland, MS 39157-4236

NPPES record updated Dec 30, 2016. Public records can lag behind changes at a practice.

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Practice location

1 Professional Pkwy Suite 1B
Ridgeland, MS 39157-4236

Professional details: NPI, taxonomy & registry record

NPI1063957934

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Registry details

Primary taxonomy: Speech-Language Pathologist
Taxonomy code: 235Z00000X
Enumeration date: Dec 30, 2016
Record updated: Dec 30, 2016

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Speech-Language Pathologist

235Z00000X · Primary

License reported: S2982 MS

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1 Professional Pkwy
Suite 1B
Ridgeland, MS 39157-4236

Phone: (601) 201-9313
Fax: (601) 790-7101

Mailing address

1 PROFESSIONAL PKWY
SUITE 1B
RIDGELAND, MS 391574236

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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