Tammy Conklin
Speech-Language Pathologist, in McComb, MS. Individual provider (NPI-1).
NPI number1366622425
StatusActive
Last updated in NPPESJul 29, 2021
Details
- NPI
- 1366622425
- Entity type
- Individual (NPI-1)
- Name
- Tammy Conklin
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 6, 2007
- Certification date
- Jul 29, 2021
- Last updated
- Jul 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 016417-01 | NY | Yes |
| 235Z00000X | Speech-Language Pathologist, | 103318 | TX |
Practice location
206 Maryland AveMcComb, MS 39648-3926
Phone 601-250-4815
Mailing address
195 Churchland RdSaugerties, NY 12477-4649
Phone 845-665-1219
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Other Speech-Language Pathologist providers in McComb, MS
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All 46 Speech-Language Pathologist providers in McComb · All 863 providers in McComb
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