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Contact Information

KELLI A CRUTHIRDS, SLP
1601 CENTRAL AVE W
WIGGINS, MS39577-2401
 Phone: 601-716-3196
 Fax: 601-974-9919
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for KELLI A CRUTHIRDS · (Female)

NPI # 1104667112
Status Active
Credentials SLP (Speech-Language Pathologists)
Entity Individual
Enumeration date 06/04/2024
Last updated 06/04/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MS License # S-5090
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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