Individual provider · Type 1 NPI

Codie Jaclyn Green

Speech-Language Pathologist · Sumrall, MS

NPI number 1225769482 Active

Practice location

668 Old Salt Rd
Sumrall, MS 39482-4232

Call (601) 270-6968 Map

Fax (601) 336-5255

Mailing address

17 E Cherry
Sumrall, MS 39482-0400

Other practice locations

4805 W 4th St, Hattiesburg, MS 39402-1019 · (601) 270-6968

Specialties and licenses

Taxonomy	Code	License
Speech-Language Pathologist Primary	235Z00000X	S-4294 (MS)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1225769482

Codie Jaclyn Green's National Provider Identifier is 1225769482, issued on Jun 20, 2022. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Sumrall, MS. The record was last updated on Jun 20, 2022.