MEDICARE: ELIZABETH W KNOTTS SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	S5402	MS

General Provider Information

NPI Number	:	1972486827
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH W KNOTTS SLP

Provider Business Mailing Address
First Line	:	921 W BEACON ST
Second Line	:
City	:	PHILADELPHIA
State	:	MS
Zip	:	39350-3229
Country	:	US
Telephone Number	:	601-650-0002
Fax Number	:

Provider Business Practice Location Address
First Line	:	1976 HIGHWAY 43 N STE F
Second Line	:
City	:	CANTON
State	:	MS
Zip	:	39046-4962
Country	:	US
Telephone Number	:	601-667-3144
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2025
Last Update Date	:	07/29/2025

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Directions to “ ELIZABETH W KNOTTS SLP” Practice Location

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