Katelyn Michelle Ford
Individual provider Active NPI Speech-Language Pathologist · Purvis, MS
NPI 1083239883 · NPPES record last updated Jun 8, 2020
Key facts
- NPI
- 1083239883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 62 Ede Bounds LN
Purvis, MS 39475-4325 - Phone
- (601) 325-4154
- NPI assigned
- Jun 8, 2020
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
62 Ede Bounds LN
Purvis, MS 39475-4325
Mailing address
62 Ede Bounds LN
Purvis, MS 39475-4325
Phone (601) 325-4154
Other providers in Purvis, MS
- Stephanie Eatman
- Edl Medical, LLC
- Empowered Behavioral Solutions
- Joel Erves
- Jillian Ferrell
- Keeley Gardner
- Angela Crabtree Gatlin
- Christopher Gleason
- Ashley Gray
- Sharon Griffin
All providers in Purvis, MS · Speech-Language Pathologist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.