University of Southern Mississippi
NPI #1215273032 in Hattiesburg, Mississippi
Provider Information
- NPI Number
- 1215273032
- Entity Type
- Organization
- Organization Name
- University of Southern Mississippi
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- USM DUBARD SCHOOL FOR LANGUAGE DISORDERS
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Dec 26, 2012
- Last Updated
- Dec 26, 2012
Practice Location
- Address
- 118 COLLEGE DR BOX 5215
- City
- Hattiesburg
- State
- Mississippi
- ZIP Code
- 39406-0001
- Phone
- (601) 266-6378
Authorized Official
- Name
- MRS. PATRICIA RENEE MARTIN, ED.S.
- Title
- ASSISTANT DIRECTOR
- Phone
- (601) 266-6378
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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