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Contact Information

MADELYN K DAVID, CCC-SLP
4552 HIGHWAY 53
POPLARVILLE, MS39470-4156
 Phone: 601-795-2043
 Fax: 601-795-2025
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for MADELYN K DAVID · (Female)

NPI Number 1487089363
Status Active
Credentials CCC-SLP (Certificate of Clinical Competance in Speech language pathology)
Entity Individual
Enumeration date 09/10/2013
Last updated 09/10/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • MS License # S3225
  • MS Medicaid 0000000
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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