Carrie Whitt, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Leland, MS
NPI 1174036792 · NPPES record last updated Nov 6, 2017
Key facts
- NPI
- 1174036792
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- S3753 (MS)
- Practice address
- 201 Baker Blvd
Leland, MS 38756-3401 - Phone
- (662) 686-4121
- Fax
- (662) 686-4770
- NPI assigned
- Nov 6, 2017
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S3753 | MS | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | S3753 | MS | Yes |
Addresses
Primary practice location
201 Baker Blvd
Leland, MS 38756-3401
Mailing address
201 Baker Blvd
Leland, MS 38756-3401
Phone (662) 686-4121
Other providers in Leland, MS
- Felicia R Walker
- Jessica Walker
- Michael Earl Walker
- Sereka V Walker
- Tashiri Wheeler
- Valina Williams
- Viola Williams
- Jessica Morton Willis
All providers in Leland, 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 Nov 6, 2017. 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.