Delisha Diane Speech, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

S29282 Issued in MS

Practice address

102 Huntington Hill Dr
Clinton, MS 39056-6346

Phone

(601) 201-9313

NPI assigned

Dec 17, 2007

Last updated

Dec 17, 2007By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Say It Again

  • Speech-Language Pathologist
  • Ridgeland, MS
  • NPI 1063957934
  NPD (past) Authorized official

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1376726075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 HUNTINGTON HILLS DRIVE",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "39056",
            "telephone_number": "601-201-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 HUNTINGTON HILL DR",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390566346",
            "telephone_number": "601-201-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEECH",
        "first_name": "DELISHA",
        "middle_name": "DIANE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S29282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07326861",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sowing Seeds, LLC
• Katie Mae Spann, APRN PMHNP
• Tiffany Danielle Spears
• Spectrum Eye Care Solutions,LLC
• Speech Care Associates
• Springboard Therapy Services, Inc
• Springridge Medical Clinic
• St Dominic Medical Associates (Retail Clinic - Clinton)
• St Dominic Medical Associates, LLC (Family Practice Associates Clinton)
• St. Dominic Medical Associates Inc (Family Practice Associates Clinton)

• Speech-Language Pathologist in Clinton, MS
• Providers in Clinton, 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 Dec 17, 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.