Provider Demographics
NPI:1780867242
Name:MAY, URSULA B (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:URSULA
Middle Name:B
Last Name:MAY
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 PEARLIE OWENS DR
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39212-3272
Mailing Address - Country:US
Mailing Address - Phone:601-201-9287
Mailing Address - Fax:
Practice Address - Street 1:225 PEARLIE OWENS DR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39212-3272
Practice Address - Country:US
Practice Address - Phone:601-201-9287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-06
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSS2910235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist