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Organization
KNOTTS SPEECH THERAPY SERVICES
Active
Organization
KNOTTS SPEECH THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCI KNOTTS CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(228) 623-8734
Entity
Organization
Contact information
Practice address
5210 HUCKLEBERRY LN, MOSS POINT, MS 39562-2203
(228) 623-8734
(228) 460-5120
Mailing address
5210 HUCKLEBERRY LN, MOSS POINT, MS 39562-2203
(228) 623-8734
(228) 460-1520
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
S1068
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119278
—
MS
Enumeration date
05/18/2016
Last updated
03/16/2023
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