=====================================================
General NPI Number Information
=====================================================
NPI Number | 1477473668
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MORGAN GRACE PRINCE MA CF- SLP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/17/2026
-----------------------------------------------------
Last Update Date | 07/17/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 416 NORTH HAUGH AVE.
-----------------------------------------------------
City | PICAYUNE
-----------------------------------------------------
State | MS
-----------------------------------------------------
Zip | 39466-4011
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 769-356-8931
-----------------------------------------------------
Fax | 601-620-4117
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6205 HIGHWAY 43 N
-----------------------------------------------------
City | CARRIERE
-----------------------------------------------------
State | MS
-----------------------------------------------------
Zip | 39426-8660
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 769-356-8931
-----------------------------------------------------
Fax | 601-620-4117
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number | S-5522
-----------------------------------------------------
License Number State | MS
-----------------------------------------------------