Provider Demographics
NPI:1306133442
Name:FERRY, LIBBY FERRY
Entity type:Individual
Prefix:MRS
First Name:LIBBY
Middle Name:FERRY
Last Name:FERRY
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:LIBBY
Other - Middle Name:
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 17167
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39404-7167
Mailing Address - Country:US
Mailing Address - Phone:601-261-5995
Mailing Address - Fax:
Practice Address - Street 1:3901 HARDY ST
Practice Address - Street 2:SUITE 100
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39402-1636
Practice Address - Country:US
Practice Address - Phone:601-261-5885
Practice Address - Fax:601-261-5335
Is Sole Proprietor?:No
Enumeration Date:2011-07-08
Last Update Date:2019-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSA0576237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist