Louise H. Hemingway, MCD, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Shelby, MS
NPI 1124155650 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1124155650
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- S0882 (MS)
- Practice address
- 1902 Broadway Street
Shelby, MS 38774-0603 - Phone
- (662) 398-5065
- Fax
- (662) 398-5065
- NPI assigned
- Feb 28, 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S0882 | MS | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | S0882 | MS | Yes |
Addresses
Primary practice location
1902 Broadway Street
Shelby, MS 38774-0603
Mailing address
PO Box 314
Mound Bayou, MS 38762-0314
Phone (662) 398-5065
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00114791 | Medicaid | MS |
Other names
- Mrs. Louise H. Payne
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All providers in Shelby, 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 Jul 9, 2007. 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.