Megan Smith, SLP

Individual provider Active NPI Speech-Language Pathologist · Liberty, MS

NPI 1003142175 · NPPES record last updated Oct 26, 2009

Key facts

NPI
1003142175
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
12133854 (MS)
Practice address
3457 S Greensburg Rd
Liberty, MS 39645-9580
Phone
(601) 657-4364
NPI assigned
Oct 26, 2009
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
12133854MSMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 12133854 MS Yes

Addresses

Primary practice location

3457 S Greensburg Rd
Liberty, MS 39645-9580

Mailing address

7173A Moak Rd
Summit, MS 39666-7505

Other providers in Liberty, MS

All providers in Liberty, MS · Speech-Language Pathologist in Mississippi

Sources for this page

Verify at the official NPI Registry.