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Contact Information

COLEMAN SPEECH & LANGUAGE, P.C.
1662 DEBRA DR
GREENVILLE, MS38703-7817
 Phone: 662-537-7628
 Fax: 662-537-7887
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for COLEMAN SPEECH & LANGUAGE, P.C.

NPI # 1861882417
LBN Legal business name COLEMAN SPEECH & LANGUAGE, P.C.
Authorized official KIMBERLY COLEMAN - (SPEECH LANGUAGE PATHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 02/03/2015
Last updated 02/03/2015 - About 11 years ago
Identifiers
AR License # SP#3014
AR Medicaid 186388721
MS Medicaid 04433096
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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