Individual provider · Type 1 NPI

Leisa Annette McCullough, CCC-SLP

Speech-Language Pathologist · Jackson, MS

NPI number 1699201715 Active

Practice location

2500 N State St
Jackson, MS 39216-4500

Call (662) 397-8964 Map

Mailing address

144 Huber St
Madison, MS 39110-6983

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XS3909 (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 1699201715

Leisa Annette McCullough, CCC-SLP's National Provider Identifier is 1699201715, issued on May 10, 2017. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Jackson, MS. The record was last updated on May 10, 2017.