Delta Speech-Language Pathology, PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

DELTA SPEECH-LANGUAGE PATHOLOGY, PLLC

Practice address

139 W Lake Lee Rd
Greenville, MS 38701-9573

Phone

(662) 822-1322

NPI assigned

Nov 1, 2015

Last updated

Nov 1, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Heather Melissa Mangrum, MS, CCC-SLPNPI 1780057638

Title

Speech Pathologist/Owner

Phone

(662) 822-1322

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Heather Melissa Mangrum, MS CCC-SLP

  • Speech-Language Pathologist
  • Greenville, MS
  • NPI 1780057638
  NPD (past) Authorized official

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

{
    "created_epoch": "1446336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446336000000",
    "number": "1235502196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 W LAKE LEE RD",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387019573",
            "telephone_number": "662-822-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 W LAKE LEE RD",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387019573",
            "telephone_number": "662-822-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA SPEECH-LANGUAGE PATHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-01",
        "last_updated": "2015-11-01",
        "status": "A",
        "authorized_official_last_name": "MANGRUM",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "MELISSA",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "662-822-1322",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delta Regional Anesthesiology Group
• Delta Regional Medical Center
• Delta Regional Medical Center Ambulance Service (Delta Health-Medical Group)
• Delta Regional Medical Center-West Campus
• Delta Specialty Clinic PC
• Delta Transportation Services, LLC
• Delta Vision Clinic Inc (EyeDeal Optical)
• Delta Wellness Clinic for Families LLC
• Dental Group of Greenville
• Destiny's Touch Home Care Agency LLC

• Speech-Language Pathologist in Greenville, MS
• Providers in Greenville, 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 Nov 1, 2015; 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.