Rene F Dungan, SLP
Individual provider Active NPI Speech-Language Pathologist · Columbia, MS
NPI 1114192572 · NPPES record last updated Apr 28, 2008
Key facts
- NPI
- 1114192572
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- S3033 (MS)
- Practice address
- 1415 Broad Street
Columbia, MS 39429 - Phone
- (601) 736-8458
- NPI assigned
- Apr 28, 2008
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S3033 | MS | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | S3033 | MS | Yes |
Addresses
Primary practice location
1415 Broad Street
Columbia, MS 39429
Mailing address
1415 Broad Street
Columbia, MS 39429
Phone (601) 736-8458
Other providers in Columbia, MS
- Charlotte Mary Davis
- Lauren Riley Davis
- Diligent Healthcare, LLC
- Omega Dillon
- Dr Michael S. Zaleski
- Dynamic Columbia Operating Company LLC
- Kerry M Easterling Sr.
- Nancy F Easterling
- Lydia Echols
- Agnes Emerle
All providers in Columbia, 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 Apr 28, 2008. 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.