Tamla Allen-Turner

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

NPI 1609030808 · NPPES record last updated Jan 3, 2024

Key facts

NPI
1609030808
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
S2903 (MS)
Practice address
3516 Manor Dr Ste a
Vicksburg, MS 39180-5693
Phone
(601) 301-2027
Fax
(877) 384-2919
NPI assigned
Jul 16, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X S2903 MS Yes

Addresses

Primary practice location

3516 Manor Dr Ste a
Vicksburg, MS 39180-5693

Mailing address

1065A China Grove Rd
Vicksburg, MS 39180-7784
Phone (601) 529-0539

Other providers in Vicksburg, MS

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

Sources for this page

Verify at the official NPI Registry.