Provider Demographics
NPI:1912455791
Name:GEE, ANGELA (ANGELA MORROW GEE)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:GEE
Suffix:
Gender:F
Credentials:ANGELA MORROW GEE
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:
Other - Last Name:GEE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ANGELA MORROW GEE
Mailing Address - Street 1:116 DABNEY ST
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38606-2541
Mailing Address - Country:US
Mailing Address - Phone:662-647-1970
Mailing Address - Fax:
Practice Address - Street 1:154 WOODLAND RD
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:MS
Practice Address - Zip Code:38606-7300
Practice Address - Country:US
Practice Address - Phone:662-647-1970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-21
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSS3758235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist