Delta Speech-Language Pathology, Pllc
NPI #1235502196 in Greenville, Mississippi
Provider Information
- NPI Number
- 1235502196
- Entity Type
- Organization
- Organization Name
- Delta Speech-Language Pathology, Pllc
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Nov 1, 2015
- Last Updated
- Nov 1, 2015
Practice Location
- Address
- 139 W LAKE LEE RD
- City
- Greenville
- State
- Mississippi
- ZIP Code
- 38701-9573
- Phone
- (662) 822-1322
Authorized Official
- Name
- MRS. HEATHER MELISSA MANGRUM, MS, CCC-SLP
- Title
- SPEECH PATHOLOGIST/OWNER
- Phone
- (662) 822-1322
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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