Erica R Palmer
Individual provider Active NPI Speech-Language Pathologist · Wiggins, MS
NPI 1669009486 · NPPES record last updated Mar 23, 2020
Key facts
- NPI
- 1669009486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- S4430 (MS)
- Practice address
- 1440 Central Ave E
Wiggins, MS 39577-9602 - Phone
- (601) 928-6700
- NPI assigned
- Mar 23, 2020
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S4430 | MS | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | S4430 | MS | Yes |
Addresses
Primary practice location
1440 Central Ave E
Wiggins, MS 39577-9602
Mailing address
1440 Central Ave E
Wiggins, MS 39577-9602
Phone (601) 928-6700
Other providers in Wiggins, MS
- Lycel Parmosa Nall
- Brooke Naramore
- Carly Anne Nichols
- Amber Williamson Norris
- Dillon Ott
- Leslie Parker
- Rebekah Parker
- Robert K Partrige
- Personal Care Home of Wiggins
- Hannah Jean Peterman
All providers in Wiggins, MS · Speech-Language Pathologist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.