Whalio Doctors

NPI 1639958333

Micaela Temple Andrus, SLP

Practitioner Speech-Language Pathologist Liberty, MS

Practice location

Address
115 Industrial Park Drive, Liberty, MS 39645
Phone
(601) 778-0245
Mailing address
PO Box 188, Liberty, MS 39645-0188

Registered specialties

Speech-Language Pathologist Primary
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 4780 (MS)

Registry record

NPI
1639958333
Entity type
Individual
Sex (as registered)
Female
NPI issued
22 Sep 2023
Record last updated
12 Aug 2024

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.