Daphne Richmond

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

NPI 1013147651 · NPPES record last updated Jul 16, 2009

Key facts

NPI
1013147651
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
S3378 (MS)
Practice address
6434 Dale Dr
Marion, MS 39342-8704
Phone
(601) 483-4285
NPI assigned
Jul 16, 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
S3378MSMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X S3378 MS Yes

Addresses

Primary practice location

6434 Dale Dr
Marion, MS 39342-8704

Mailing address

11301 Corporate Blvd
Suite 101
Orlando, FL 32817-8354

Other providers in Marion, MS

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

Sources for this page

Verify at the official NPI Registry.