Individual provider · Type 1 NPI

Kim K. Costello, M.S., CCC-SLP

Speech-Language Pathologist · Jackson, MS

NPI number 1306926233 Active

Practice location

4500 I-55 North, Suite 291, Highland Village
Jackson, MS 39211

Call (601) 362-0859 Map

Fax (601) 362-0870

Mailing address

1006 Canterbury Pl E
Brandon, MS 39042-8105

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XSO780 (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 1306926233

Kim K. Costello, M.S., CCC-SLP's National Provider Identifier is 1306926233, issued on Oct 16, 2006. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Jackson, MS. The record was last updated on Jul 8, 2007.