Misty Howington Cox, SLP-CCC

Individual provider Active NPI Speech-Language Pathologist · Jefferson, GA

NPI 1134443104 · NPPES record last updated Mar 19, 2010

Key facts

NPI
1134443104
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SLP004806 (GA)
Practice address
470 Delaperriere Loop
Jefferson, GA 30549-7949
Phone
(706) 207-1354
NPI assigned
Mar 19, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SLP004806GAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP004806 GA Yes

Addresses

Primary practice location

470 Delaperriere Loop
Jefferson, GA 30549-7949

Mailing address

470 Delaperriere Loop
Jefferson, GA 30549-7949
Phone (706) 207-1354

Other providers in Jefferson, GA

All providers in Jefferson, GA · Speech-Language Pathologist in Georgia

Sources for this page

Verify at the official NPI Registry.