| Pine Belt Voice And Swallowing | |
|
3004 Navajo Cir, Hattiesburg, MS 39402-2446 | |
| (601) 402-4994 | |
| Not Available |
| Full Name | Pine Belt Voice And Swallowing |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 3004 Navajo Cir, Hattiesburg, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710796800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Tyler Standland |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1386452993 PECOS PAC ID: 7719403302 Enrollment ID: I20250428001047 |
| Mailing Address | Practice Location Address |
|---|---|
| Pine Belt Voice And Swallowing 3004 Navajo Cir, Hattiesburg, MS 39402-2446 Ph: (601) 402-4994 | Pine Belt Voice And Swallowing 3004 Navajo Cir, Hattiesburg, MS 39402-2446 Ph: (601) 402-4994 |
Kelli Banta, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4805 W 4th St, Hattiesburg, MS 39402 Phone: 601-270-6968 | |
Mrs. Susanna Utz, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 118 College Dr # 10035, Hattiesburg, MS 39406 Phone: 601-266-5223 | |
Mrs. Daphne Cornett, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 118 College Dr, Hattiesburg, MS 39406 Phone: 601-266-5223 Fax: 601-266-6763 | |
Dr. Jennifer Salgo Corie, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 822 Robin Cir, Hattiesburg, MS 39402 Phone: 601-818-3501 | |
Mrs. Jennifer Farragut Martin, MSCCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 137 Beechwood Dr, Hattiesburg, MS 39402 Phone: 601-466-0876 Fax: 601-579-0283 | |
Laela Kurdali-ricks, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1305 Country Club Rd, Hattiesburg, MS 39401 Phone: 601-544-4444 | |
Mrs. Kimberley Royal Gibson, MS CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4906 Old Highway 11, Ste 8, Hattiesburg, MS 39402 Phone: 601-268-9877 Fax: 601-268-9609 |