Organization
DELTA SPEECH-LANGUAGE PATHOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEATHER MELISSA MANGRUM MS, CCC-SLP (SPEECH PATHOLOGIST/OWNER)
(662) 822-1322
Entity
Organization
Contact information
Practice address
139 W LAKE LEE RD, GREENVILLE, MS 38701-9573
(662) 822-1322
Mailing address
139 W LAKE LEE RD, GREENVILLE, MS 38701-9573
(662) 822-1322
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
MS
Other
Enumeration date
11/01/2015
Last updated
11/01/2015
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