Provider Demographics
NPI:1619027661
Name:ENGLAND, BETSY (SLP)
Entity type:Individual
Prefix:MRS
First Name:BETSY
Middle Name:
Last Name:ENGLAND
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:ROBBYE
Other - Middle Name:ELIZABETH
Other - Last Name:GRIFFIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:SLP
Mailing Address - Street 1:4895 ROSEBROOK CIR E
Mailing Address - Street 2:
Mailing Address - City:SOUTHAVEN
Mailing Address - State:MS
Mailing Address - Zip Code:38672-8105
Mailing Address - Country:US
Mailing Address - Phone:662-796-0734
Mailing Address - Fax:
Practice Address - Street 1:711 AVIGNON DR
Practice Address - Street 2:
Practice Address - City:RIDGELAND
Practice Address - State:MS
Practice Address - Zip Code:39157-5120
Practice Address - Country:US
Practice Address - Phone:601-605-6777
Practice Address - Fax:601-605-8869
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSS2557235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist