Provider Demographics
NPI:1063957934
Name:SAY IT AGAIN
Entity type:Organization
Organization Name:SAY IT AGAIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUGE PATHOLOGIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:DELISHA
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:SPEECH
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:601-201-9313
Mailing Address - Street 1:1 PROFESSIONAL PKWY
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:RIDGELAND
Mailing Address - State:MS
Mailing Address - Zip Code:39157-4236
Mailing Address - Country:US
Mailing Address - Phone:601-201-9313
Mailing Address - Fax:601-790-7101
Practice Address - Street 1:1 PROFESSIONAL PKWY
Practice Address - Street 2:SUITE 1B
Practice Address - City:RIDGELAND
Practice Address - State:MS
Practice Address - Zip Code:39157-4236
Practice Address - Country:US
Practice Address - Phone:601-201-9313
Practice Address - Fax:601-790-7101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-30
Last Update Date:2016-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSS2982235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS07326861Medicaid