DESIREE THIBODEAUX (NPI# 1932329661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932329661 |
| Entity Type | Individual |
| Full Name | DESIREE THIBODEAUX |
| Practice Address |
20 The Rays Trl Se Bogue Chitto MS 39629-8500 |
| Mailing Address |
607 Case Trl Nw Brookhaven MS 39601-9061 |
| Practice Telephone | 6018338363 |
| Mailing Telephone | 6017575506 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | S2846 | MS | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 07427004 | 05 |
| Street Address |
20 THE RAYS TRL SE |
| City | BOGUE CHITTO |
| State | MS |
| Zip Code | 39629-8500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366455909 | Nancy Carole Bass | Speech-Language Pathologist | 20 The Rays Trl Se, Bogue Chitto, MS 39629-8500 | 2006-08-14 |
| 1083065775 | Sarah Guthrie | Speech-Language Pathologist | 20 The Rays Trl Se, Bogue Chitto, MS 39629-8500 | 2016-06-24 |
| 1841493517 | Melissa D Boerner | Speech-Language Pathologist | 20 The Rays Trl Se, Bogue Chitto, MS 39629-8500 | 2007-06-08 |
| 1043439565 | Rachel Kennedy Powell | Speech-Language Pathologist | 20 The Rays Trl Se, Bogue Chitto, MS 39629-8500 | 2007-04-24 |
| 1316000961 | Beverly N Ray | Speech-Language Pathologist | 20 The Rays Trl Se, Bogue Chitto, MS 39629-8500 | 2006-12-18 |
| 1073676623 | Speech Pathology Associates, Inc. | Speech-Language Pathologist | 20 The Rays Trl Se, Bogue Chitto, MS 39629-8500 | 2006-12-18 |
| 1376628321 | Jo Ann Mc Kenzie Spears | Speech-Language Pathologist | 20 The Rays Trl Se, Bogue Chitto, MS 39629-8500 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033342134 | Family Health Care Clinic, Inc. | Clinic/Center | 2506 Highway 51 Se, Bogue Chitto, MS 39629 | 2009-08-24 |
| 1710469580 | Sarabeth Hall | Nurse Practitioner | 2503 Wallace Dr Sw, Bogue Chitto, MS 39629-5151 | 2018-08-29 |
| 1023395811 | Barbara Faye Buie | Counselor | 2919 Lee Dr Se, Bogue Chitto, MS 39629-9414 | 2011-11-08 |
| 1861442873 | Southwest Mississippi Regional Medical Center | Clinic/Center | 28 Bogue Chitto Rd Sw, Bogue Chitto, MS 39629-9488 | 2006-05-11 |
| 1235669532 | Annette Edwards | Technician | 356 Springfield Trl Se, Bogue Chitto, MS 39629-9702 | 2017-06-19 |
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | 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, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366455909 | Nancy Carole Bass | Speech-Language Pathologist | 20 The Rays Trl Se, Bogue Chitto, MS 39629-8500 | 2006-08-14 |
| 1083065775 | Sarah Guthrie | Speech-Language Pathologist | 20 The Rays Trl Se, Bogue Chitto, MS 39629-8500 | 2016-06-24 |
| 1841493517 | Melissa D Boerner | Speech-Language Pathologist | 20 The Rays Trl Se, Bogue Chitto, MS 39629-8500 | 2007-06-08 |
| 1043439565 | Rachel Kennedy Powell | Speech-Language Pathologist | 20 The Rays Trl Se, Bogue Chitto, MS 39629-8500 | 2007-04-24 |
| 1316000961 | Beverly N Ray | Speech-Language Pathologist | 20 The Rays Trl Se, Bogue Chitto, MS 39629-8500 | 2006-12-18 |
| 1073676623 | Speech Pathology Associates, Inc. | Speech-Language Pathologist | 20 The Rays Trl Se, Bogue Chitto, MS 39629-8500 | 2006-12-18 |
| 1376628321 | Jo Ann Mc Kenzie Spears | Speech-Language Pathologist | 20 The Rays Trl Se, Bogue Chitto, MS 39629-8500 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766928 | Delaynee Marchant | Speech-Language Pathologist | 2105 Country Club Rd, Grenada, MS 38901-4834 | 2020-10-08 |
| 1750996401 | Shelby Bourgeois | Speech-Language Pathologist | 108 Heron Park Pl, Ocean Springs, MS 39564 | 2020-09-10 |
| 1578176202 | Kaylan Williams | Speech-Language Pathologist | 643 Westbrook Rd, Courtland, MS 38620-9458 | 2020-08-24 |
| 1942813647 | Allie Reid | Speech-Language Pathologist | 160 E Franklin St, Natchez, MS 39120-3610 | 2020-08-24 |
| 1780296525 | Moore Speech Therapy, LLC | Speech-Language Pathologist | 3688 Flat Rock Dr, Hernando, MS 38632-4445 | 2020-08-22 |
| 1255940615 | Bernude Jesucat | Speech-Language Pathologist | 1024 Us-61, Tunica, MS 38676 | 2020-07-30 |
| 1629686126 | Ann Turner Troutt | Speech-Language Pathologist | 1751 Dancy Blvd Ste 2, Horn Lake, MS 38637-1916 | 2020-07-21 |
| 1235757949 | Claiborne Brooke White | Speech-Language Pathologist | 27190 Ms-28, Hazlehurst, MS 39083 | 2020-07-09 |
| 1831717446 | Misty Michelle Moore | Speech-Language Pathologist | 6444 Highway 43 S, Kosciusko, MS 39090-9459 | 2020-07-09 |
| 1467070334 | Language Lounge LLC | Speech-Language Pathologist | 2053 Barto Leggett Rd, Mccomb, MS 39648-9327 | 2020-07-08 |
| Find all providers with the same taxonomy | ||||
| City | BOGUE CHITTO |
| Zip Code | 39629 |
Please comment or provide details below to improve the information on DESIREE THIBODEAUX.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.