Individual
MRS. LOUISE H. HEMINGWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
1902 BROADWAY STREET, SHELBY, MS 38774-0603
(662) 398-5065
(662) 398-5065
Mailing address
PO BOX 314, MOUND BAYOU, MS 38762-0314
(662) 398-5065
(662) 398-5065
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S0882
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00114791
—
MS
Enumeration date
02/28/2007
Last updated
07/09/2007
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