Healthcare Provider Details

I. General information

NPI: 1619027661
Provider Name (Legal Business Name): BETSY ENGLAND SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ROBBYE ELIZABETH GRIFFIN SLP

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 AVIGNON DR
RIDGELAND MS
39157-5120
US

IV. Provider business mailing address

4895 ROSEBROOK CIR E
SOUTHAVEN MS
38672-8105
US

V. Phone/Fax

Practice location:
  • Phone: 601-605-6777
  • Fax: 601-605-8869
Mailing address:
  • Phone: 662-796-0734
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberS2557
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: