Kim S. Havard, Ms Ccc-Slp LLC
NPI #1528527405 in Hattiesburg, Mississippi
Provider Information
- NPI Number
- 1528527405
- Entity Type
- Organization
- Organization Name
- Kim S. Havard, Ms Ccc-Slp LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- KIM S. HAVARD, MS CCC-SLP
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Mar 19, 2019
- Last Updated
- Mar 19, 2019
Practice Location
- Address
- 98 QUAIL HOLLOW DR
- City
- Hattiesburg
- State
- Mississippi
- ZIP Code
- 39402-6008
- Phone
- (601) 408-1365
Authorized Official
- Name
- MRS. KIM S. HAVARD, MS CCC-SLP
- Title
- OWNER/PROVIDER
- Phone
- (601) 408-1365
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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