Communication Connection, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

S3402 Issued in MS

Legal business name

COMMUNICATION CONNECTION, LLC

Practice address

117B N Main St
Picayune, MS 39466-3928

Phone

(601) 798-6900

Fax

(601) 798-6975

NPI assigned

Mar 14, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Stephanie Deanne Farrell, SLP

Title

Speech Pathologist

Phone

(601) 798-6900

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300060800000",
    "number": "1104124296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117B N MAIN ST",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394663928",
            "telephone_number": "601-798-6900",
            "fax_number": "601-798-6975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117B N MAIN ST",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394663928",
            "telephone_number": "601-798-6900",
            "fax_number": "601-798-6975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNICATION CONNECTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-14",
        "last_updated": "2011-03-14",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "DEANNE",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "601-798-6900",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S3402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04578859",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Picayune, MS
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• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.