Organization
THE UNIVERSITY OF MISSISSIPPI SPEECH AND HEARING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LENNETTE J IVY CCC-SLP, PH.D. (DEPARTMENT CHAIR)
(662) 915-7271
Entity
Organization
Contact information
Practice address
2301 SOUTH LAMAR BOULEVARD, OXFORD, MS 38655
(662) 915-7271
(662) 915-7263
Mailing address
PO BOX 1848, UNIVERSITY, MS 38677-1848
(662) 915-7271
(662) 915-7263
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00075200
—
MS
Enumeration date
04/17/2007
Last updated
07/10/2019
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