Healthcare Provider Details

I. General information

NPI: 1770753980
Provider Name (Legal Business Name): LEIGH A RIMMER SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/04/2008
Last Update Date: 08/19/2024
Certification Date: 08/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

165 COUNTY ROAD 481
CALHOUN CITY MS
38916-9670
US

IV. Provider business mailing address

PO BOX 1358
CALHOUN CITY MS
38916-1358
US

V. Phone/Fax

Practice location:
  • Phone: 662-792-6261
  • Fax:
Mailing address:
  • Phone: 662-628-1965
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3140N1450X
TaxonomyPediatric Skilled Nursing Facility
License NumberS1096
License Number StateMS
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberS1096
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: