Southern Small Talk

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

S3417 Issued in MS

Legal business name

SOUTHERN SMALL TALK

Practice address

849 Willow Grande Cir
Brandon, MS 39047-8352

Phone

(601) 527-5969

NPI assigned

Sep 4, 2013

Organization subpart

No

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

Authorized official

Name

Rachel W Anderson, M.S., CCC/SLP

Title

Speech-Language Pathologist/Ceo

Phone

(601) 527-5969

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378252800000",
    "number": "1922433424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 WILLOW GRANDE CIR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390478352",
            "telephone_number": "601-527-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 WILLOW GRANDE CIR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390478352",
            "telephone_number": "601-527-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN SMALL TALK",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-04",
        "last_updated": "2013-09-04",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST/CEO",
        "authorized_official_telephone_number": "601-527-5969",
        "authorized_official_credential": "M.S., CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S3417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00726008",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southeast Behavioral Health Services, Inc.
• Southeastern Assistive Technology Solutions, LLC
• Southern Bound Transportation Company
• Southern Brace & Billing LLC
• Southern Small Talk
• Southern Smile Studio
• Trista Sparkman
• Avis Sparks
• Speech Language Pathology
• Donna Boykin Speed, RDN

• Speech-Language Pathologist in Brandon, MS
• Providers in Brandon, MS by specialty
• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; 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.