Organization
SPEECH PATHOLOGY ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY N RAY CCC-SLP (PRESIDENT)
(601) 833-8363
Entity
Organization
Contact information
Practice address
20 THE RAYS TRL SE, BOGUE CHITTO, MS 39629-8500
(601) 833-8363
(601) 833-0080
Mailing address
20 THE RAYS TRL SE, BOGUE CHITTO, MS 39629-8500
(601) 833-8363
(601) 833-0080
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09016222
—
MS
Enumeration date
12/18/2006
Last updated
08/22/2020
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