Jamie Ford
Individual provider Active NPI Speech-Language Pathologist · Summit, MS
NPI 1831471614 · NPPES record last updated Sep 16, 2011
Key facts
- NPI
- 1831471614
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- S2857 (MS)
- Practice address
- 4109 Highway 98 W
Summit, MS 39666-9132 - Phone
- (601) 764-9909
- NPI assigned
- Sep 16, 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S2857 | MS | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | S2857 | MS | Yes |
Addresses
Primary practice location
4109 Highway 98 W
Summit, MS 39666-9132
Mailing address
4109 Highway 98 W
Summit, MS 39666-9132
Other providers in Summit, MS
- Kelly Ellis
- Embracing Hearts Healthcare
- Ruth Entremont
- Jonathan Faulkner
- Amanda Fischer
- Fortinberry Physical Therapy LLC
- Austin H Fortinberry
- Brad Fortinberry
- Melissa Fortinberry
- Danny Francis Jr.
All providers in Summit, 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 Sep 16, 2011. 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.