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NPI Code Detail

MEDICARE: ABBY WHITE SLP

MEDICARE: ABBY WHITE 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
1235Z00000XSpeech-Language PathologistS3983MS

General Provider Information

NPI Number : 1619421161
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABBY WHITE SLP
Provider Business Mailing Address
First Line : 1410 W QUITMAN ST
Second Line :
City : IUKA
State : MS
Zip : 38852-1129
Country : US
Telephone Number : 662-423-3422
Fax Number :
Provider Business Practice Location Address
First Line : 1410 W QUITMAN ST
Second Line :
City : IUKA
State : MS
Zip : 38852-1129
Country : US
Telephone Number : 662-423-3422
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2016
Last Update Date : 08/12/2016

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Directions to “ ABBY WHITE SLP” Practice Location

Language Start Address Practice Location
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