Misty Barlow

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

NPI 1699068569 · NPPES record last updated May 25, 2011

Key facts

NPI
1699068569
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
503 Silver Cross Dr
Brookhaven, MS 39601-2388
Phone
(601) 833-2353
NPI assigned
May 25, 2011
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)
No

Specialties & licenses

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

Addresses

Primary practice location

503 Silver Cross Dr
Brookhaven, MS 39601-2388

Mailing address

4109 Highway 98 W
Summit, MS 39666-9132

Other providers in Brookhaven, MS

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

Sources for this page

Verify at the official NPI Registry.