Sandra Lee, CCC-SLP

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

NPI 1740658442 · NPPES record last updated Sep 11, 2015

Key facts

NPI
1740658442
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
S0929 (MS)
Practice address
3526 Monroe Rd
Seminary, MS 39479-4054
Phone
(601) 818-5571
NPI assigned
Sep 11, 2015
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)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Rehabilitation Inc Speech-Language Pathologist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X S0929 MS Yes

Addresses

Primary practice location

3526 Monroe Rd
Seminary, MS 39479-4054

Mailing address

3526 Monroe Rd
Seminary, MS 39479-4054
Phone (601) 818-5571

Other providers in Seminary, MS

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

Sources for this page

Verify at the official NPI Registry.