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Contact Information

CLEMENTS SPEECH THERAPY, LLC
318 KENDALL AVE
MCCOMB, MS39648-2854
 Phone: 601-600-2633
 Fax: 601-385-1626
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for CLEMENTS SPEECH THERAPY LLC · (Female)

NPI # 1487157624
Status Active
Credentials
Entity Individual
Enumeration date 03/14/2018
Last updated 03/22/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers
  • MS License # S3388
  • MS Medicaid 08423249
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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