Provider Demographics
NPI:1407161664
Name:DUCKWORTH, NATALIE K
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:K
Last Name:DUCKWORTH
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 1:357 SIMPSON HIGHWAY 149
Mailing Address - Street 2:
Mailing Address - City:MAGEE
Mailing Address - State:MS
Mailing Address - Zip Code:39111-3877
Mailing Address - Country:US
Mailing Address - Phone:601-849-6442
Mailing Address - Fax:601-849-1969
Practice Address - Street 1:357 SIMPSON HIGHWAY 149
Practice Address - Street 2:
Practice Address - City:MAGEE
Practice Address - State:MS
Practice Address - Zip Code:39111-3877
Practice Address - Country:US
Practice Address - Phone:601-849-6442
Practice Address - Fax:601-849-1969
Is Sole Proprietor?:No
Enumeration Date:2010-08-12
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist