Elizabeth Oredein

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

NPI 1457588683 · NPPES record last updated Jun 15, 2009

Key facts

NPI
1457588683
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
S3334 (MS)
Practice address
148 E Cherry St
Ackerman, MS 39735-9473
Phone
(662) 285-2296
NPI assigned
Jun 15, 2009
Sex
Female
Sole proprietor
Yes

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
S3334MSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Oredein-Coleman LLC Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X S3334 MS Yes

Addresses

Primary practice location

148 E Cherry St
Ackerman, MS 39735-9473

Mailing address

4109 Highway 98 W
Summit, MS 39666-9132

Other providers in Ackerman, MS

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

Sources for this page

Verify at the official NPI Registry.