Charlene William Jones-Smith, MS, CCC-SLP

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

NPI 1043403124 · NPPES record last updated Mar 2, 2011

Key facts

NPI
1043403124
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
S0971 (MS)
Practice address
193 Colonial Circle
Magee, MS 39111
Phone
(601) 849-3925
Fax
(601) 434-9332
NPI assigned
Aug 22, 2007
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
S0971MSMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X S0971 MS Yes

Addresses

Primary practice location

193 Colonial Circle
Magee, MS 39111

Mailing address

193 Colonial Cir
Magee, MS 39111-5776
Phone (601) 849-3925

Other providers in Magee, MS

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

Sources for this page

Verify at the official NPI Registry.