Organization
VARIATION OF SPEECH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERNITA A BARTON-MCGOWAN CCC-SLP (CEO)
(601) 507-0653
Entity
Organization
Contact information
Practice address
1508 HUNTLEY BLVD, MADISON, MS 39110-6336
(601) 507-0653
(601) 790-7137
Mailing address
1508 HUNTLEY BLVD, MADISON, MS 39110-6336
(601) 507-0653
(601) 790-7137
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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