Individual
PAMELA CHILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPEECH-LANGUAGE PATH
Contact information
Practice address
211 W FIRE DEPARTMENT RD, LUCEDALE, MS 39452-9753
(601) 947-7165
Mailing address
211 W FIRE DEPARTMENT RD, LUCEDALE, MS 39452-9753
(601) 947-7165
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S0470
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01034712
ASHA NUMBER
—
Enumeration date
09/26/2017
Last updated
07/21/2022
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