Provider Demographics
NPI:1134704026
Name:MAY, ERYN PAYTON
Entity Type:Individual
Prefix:
First Name:ERYN
Middle Name:PAYTON
Last Name:MAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2969 HOYE PACE RD
Mailing Address - Street 2:
Mailing Address - City:CONEHATTA
Mailing Address - State:MS
Mailing Address - Zip Code:39057-9484
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:96 OLD HIGHWAY 80 E
Practice Address - Street 2:
Practice Address - City:MORTON
Practice Address - State:MS
Practice Address - Zip Code:39117-9771
Practice Address - Country:US
Practice Address - Phone:601-732-6361
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-12
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSS-4583235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist