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Contact Information

KEENYA J DUDLEY, CCC-SLP
713 BOOTHE ST
BATESVILLE, MS38606-1715
 Phone: 662-710-4368
 Fax: 662-267-1708
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for KEENYA J DUDLEY · (Female)

NPI Number 1750553848
Status Active
Credentials CCC-SLP (Certificate of Clinical Competance in Speech language pathology)
Entity Individual
Enumeration date 03/28/2008
Last updated 07/23/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # S3062
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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