Camryn Herrington

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

NPI 1003786112 · NPPES record last updated Nov 5, 2025

Key facts

NPI
1003786112
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
S-4953 (MS)
Practice address
30 Melissa Loop
Petal, MS 39465-6303
Phone
(769) 224-0683
Fax
(601) 277-6453
NPI assigned
Nov 5, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
S-4953MSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speak Up Therapy, LLC Current
since Nov 9, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X S-4953 MS Yes

Addresses

Primary practice location

30 Melissa Loop
Petal, MS 39465-6303

Mailing address

30 Melissa Loop
Petal, MS 39465-6303
Phone (769) 224-0683

Other names

  • Camryn Mitchell Former name

Other providers in Petal, MS

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

Sources for this page

Verify at the official NPI Registry.