# BLUE HERON SPEECH THERAPY, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962329789
- **Authorized official:** KENDALL DAVIS SLP (SPEECH PATHOLOGIST)
- **Authorized official phone:** (228) 224-9359

## Contact information

- **Practice address:** 1207 CHEROKEE ST, PASCAGOULA, MS 39581-2403
- **Practice address phone:** (251) 521-1389
- **Mailing address:** 1207 CHEROKEE ST, PASCAGOULA, MS 39581-2403
- **Mailing address phone:** (251) 521-1389

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/02/2026
- **Last updated:** 07/02/2026