Provider Demographics
NPI:1598896177
Name:MCRIGHT, KATHY RENEE (MCD-CCC)
Entity Type:Individual
Prefix:MRS
First Name:KATHY
Middle Name:RENEE
Last Name:MCRIGHT
Suffix:
Gender:F
Credentials:MCD-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1709 VFW ROAD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38701-8364
Mailing Address - Country:US
Mailing Address - Phone:662-332-0247
Mailing Address - Fax:662-335-1719
Practice Address - Street 1:1709 VFW ROAD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:MS
Practice Address - Zip Code:38701-8364
Practice Address - Country:US
Practice Address - Phone:662-332-0247
Practice Address - Fax:662-335-1719
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSSO161235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist