Angela Crabtree Gatlin, MS,CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Purvis, MS
NPI 1801089883 · NPPES record last updated Jun 18, 2014
Key facts
- NPI
- 1801089883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- S3175 (MS)
- Practice address
- 8 Orange Orchard Dr
Purvis, MS 39475-4567 - Phone
- (601) 550-7270
- NPI assigned
- Aug 22, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S3175 | MS | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aultman Speech Therapy Services, LLC | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | S3175 | MS | Yes |
Addresses
Primary practice location
8 Orange Orchard Dr
Purvis, MS 39475-4567
Mailing address
8 Orange Orchard Dr
Purvis, MS 39475-4567
Phone (601) 550-7270
Other providers in Purvis, MS
- Empowered Behavioral Solutions
- Joel Erves
- Jillian Ferrell
- Katelyn Michelle Ford
- Keeley Gardner
- Christopher Gleason
- Ashley Gray
- Sharon Griffin
- Bruce Grissom Jr.
- Candice Cartwright Hamilton
All providers in Purvis, 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 Jun 18, 2014. 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.