Stephanie Machelle Aultman, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

S2122 Issued in MS

Practice address

100 W Front St
Hattiesburg, MS 39401-3460

Phone

(601) 270-6968

NPI assigned

Feb 5, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aultman Speech Therapy Services, LLC

  • Speech-Language Pathologist
  • Sumrall, MS
  • NPI 1912154220
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194864249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 49",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394030049",
            "telephone_number": "601-270-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W FRONT ST",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394013460",
            "telephone_number": "601-270-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AULTMAN",
        "first_name": "STEPHANIE",
        "middle_name": "MACHELLE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S2122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00122690",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George Michael Atkinson, MD
• Tonya Kay Atkinson
• Daniel Attaway, DNP, CRNA
• Audrey Home and Healthcare Services LLC
• Lauren Aultman
• Twylia M. Aultman, FNP-C
• Calvin Authement, LPC
• Kasey J. Autman, LCSW
• Auxilium Specialty Apothecary Pharmacy Inc
• Larry B Aycock, MD

• Speech-Language Pathologist in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.