NPI 1003591769

Kelli Banta

Practitioner Speech-Language Pathologist Hattiesburg, MS

Practice location

Address: 4805 W 4th St, Hattiesburg, MS 39402-1019
Phone: (601) 270-6968
Mailing address: 606 Concart St, Hattiesburg, MS 39401-4213

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X

Other Speech-Language Pathologist providers in Mississippi →

Registry record

NPI: 1003591769
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jun 2023
Record last updated: 20 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.