Kathryn Morrison Boykin, MS, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Clarksdale, MS
NPI 1861912966 · NPPES record last updated Jun 21, 2017
Key facts
- NPI
- 1861912966
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- S3661 (MS)
- Practice address
- 1742 Cheryl St
Clarksdale, MS 38614-7218 - Phone
- (662) 627-5247
- Fax
- (662) 627-1739
- NPI assigned
- Jun 21, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| S3661 | MS | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | S3661 | MS | Yes |
Addresses
Primary practice location
1742 Cheryl St
Clarksdale, MS 38614-7218
Mailing address
PO Box 182
Clarksdale, MS 38614-0182
Phone (662) 627-5247
Other providers in Clarksdale, MS
- Queen Blue
- Vetrice Bolden
- Dorothy L Booker
- William Lloyd Booker
- Rachel Jennifer Bouer
- Chad Jeremy Braddock
- Lashonda Lashay Bradley
- Bennie P Braggs
- Carmela Victoria Brewer
- Brookhaven Medical Center
All providers in Clarksdale, 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 21, 2017. 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.