Brandi Becoats

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

NPI 1457923955 · NPPES record last updated Jul 14, 2021

Key facts

NPI
1457923955
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
S4836 (MS)
Practice address
4215 Lakeland Dr
Flowood, MS 39232-9212
Phone
(601) 932-8555
NPI assigned
Jul 14, 2021
Sex
Female
Sole proprietor
No

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
S4836MSMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X S4836 MS Yes

Addresses

Primary practice location

4215 Lakeland Dr
Flowood, MS 39232-9212

Mailing address

711 Avignon Dr
Ridgeland, MS 39157-5120

Other providers in Flowood, MS

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

Sources for this page

Verify at the official NPI Registry.