Organization
PANOLA SPEECH THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA FLINT (REVENUE CYCLE MANAGER)
(662) 710-1035
Entity
Organization
Contact information
Practice address
107 EUREKA ST, BATESVILLE, MS 38606-2533
(662) 712-5002
(662) 712-6100
Mailing address
PO BOX 743, BATESVILLE, MS 38606-0743
(662) 712-5002
(662) 712-6100
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/17/2020
Last updated
04/13/2026
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