Individual
AMY RENAE HERBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC, SLP
Contact information
Practice address
6017 WASHINGTON AVE, OCEAN SPRINGS, MS 39564-2648
(228) 697-2269
Mailing address
6017 WASHINGTON AVE, OCEAN SPRINGS, MS 39564-2648
(228) 697-2269
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14109551
ASHA CERTIFICATION
AL
Enumeration date
03/26/2015
Last updated
08/04/2018
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