NPIMap

Organization Active NPI

Usm Dubard School

  • Speech-Language Pathologist
  • Hattiesburg, MS
National Provider Identifier
1770612442
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
USM DUBARD SCHOOL
Practice address
118 College Dr # 10035
Hattiesburg, MS 39406-0001
Phone
(601) 266-5223
Fax
(601) 266-6763
NPI assigned
Mar 5, 2007
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY OF SOUTHERN MISSISSIPPIAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Maureen K Martin
Title
Director
Phone
(601) 266-5223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

118 College Dr # 10035
Hattiesburg, MS 39406-0001

Mailing address

118 College Dr # 10035
Hattiesburg, MS 39406-0001
Phone (601) 266-5223

National Provider Directory

National Provider Directory
Tax ID family
Southern Miss Autism Research Team Smart Clinic9 organizations share this tax ID, including this one
Part of
Southern Miss Autism Research Team Smart Clinic

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

118 College Dr
#10035
Hattiesburg, MS 39406
Phone (601) 266-5223

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1770612442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 COLLEGE DR # 10035",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394060001",
            "telephone_number": "601-266-5223",
            "fax_number": "601-266-6763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 COLLEGE DR # 10035",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394060001",
            "telephone_number": "601-266-5223",
            "fax_number": "601-266-6763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USM DUBARD SCHOOL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF SOUTHERN MISSISSIPPI",
        "enumeration_date": "2007-03-05",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "601-266-5223",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.