Laura G. Cronin, SLP

Individual provider Active NPI Speech-Language Pathologist · Biloxi, MS

NPI 1295045599 · NPPES record last updated Mar 12, 2019

Key facts

NPI
1295045599
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
S0679 (MS)
Practice address
2541 Pass Rd
Suite F
Biloxi, MS 39531-2106
Phone
(228) 388-1002
Fax
(228) 388-1006
NPI assigned
Oct 20, 2010
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

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
S0679MSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Encore Rehabilitation Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X S0679 MS Yes

Addresses

Primary practice location

2541 Pass Rd
Suite F
Biloxi, MS 39531-2106

Mailing address

PO Box 8419
Biloxi, MS 39535-8087
Phone (228) 388-5714

Other identifiers

IdentifierTypeStateIssuer
1033218524OtherMSGROUP NPI
09015077MedicaidMS

Other providers in Biloxi, MS

All providers in Biloxi, MS · Speech-Language Pathologist in Mississippi

Sources for this page

Verify at the official NPI Registry.