Provider Demographics
NPI:1124549118
Name:MCCRAY, REGINA LASHONE (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:REGINA
Middle Name:LASHONE
Last Name:MCCRAY
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RLM SPEECH LANGUAGE PATHOLOGY & CONSULTING, LLC
Mailing Address - Street 2:708 YALE ST
Mailing Address - City:CLEVELAND
Mailing Address - State:MS
Mailing Address - Zip Code:38732
Mailing Address - Country:US
Mailing Address - Phone:601-395-8167
Mailing Address - Fax:
Practice Address - Street 1:RLM SPEECH LANGUAGE PATHOLOGY & CONSULTING, LLC
Practice Address - Street 2:708 YALE ST
Practice Address - City:CLEVELAND
Practice Address - State:MS
Practice Address - Zip Code:38732
Practice Address - Country:US
Practice Address - Phone:601-395-8167
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSS4328235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty