Organization
NEWTON COUNTY SCHOOLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA KELLEY (SPED DIRECTOR)
(601) 635-3218
Entity
Organization
Contact information
Practice address
15305 HIGHWAY 15, DECATUR, MS 39327
(601) 635-2317
(601) 635-4025
Mailing address
15305 HWY 15, DECATUR, MS 39327
(601) 635-2317
(601) 635-4025
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00739094
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014240
—
MS
Enumeration date
05/04/2007
Last updated
08/22/2020
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