Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIA JAQUAY KIMMONS, M.S. CCC-SLP
Active Sole ProprietorSpeech, Language and Hearing Specialist · SOUTHAVEN, MS
Registration Details
- NPI Number
- 1922286863
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 1, 2008 (18.228577225982 yrs)
- Last Updated
- Nov 16, 2010
- Licenses
-
S3061 (MS)3231 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7145 SWINNEA ROADSUITE # 1SOUTHAVEN, MS, 386716013Browse MS providers · Browse ZIP 38671
- Phone
- 6623492370
- Fax
- 6623492384
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
- Additional Specialty
- Speech, Language and Hearing Specialist
Other Speech, Language and Hearing Specialist Providers in SOUTHAVEN, MS
| Name | Credential | NPI |
|---|---|---|
| MRS. KABY PLITT | MS CCC SLP | 1336270602 |
| CHERYL JORDAN | MS CCC-SLP | 1245361690 |
| MS. LESLIE JEAN HAMMOND | MS CCC-SLP | 1841321270 |
| MRS. COURTNEY SCOTT BAUER | MA, CCC-SLP | 1306962600 |
| MS. KESHELL ANTRON GRAY | M.S., CCC-SLP | 1306081914 |
| MRS. ILA N HANDY | SLP | 1255649034 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.