Micaela Temple Andrus, SLP
NPI 1639958333ActiveIndividual· Speech-Language Pathologist· Liberty, MS
Speech-Language Pathologist (SLP) in Liberty, Mississippi, licensed in MS, with an NPI issued in September 2023. Enrolled in Medicare as practitioner - qualified speech language pathologist and practitioner - qualified speech language pathologist.
Overview
| NPI | 1639958333 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | SLP |
| Sole proprietor | No |
| NPI issued | Sep 22, 2023 |
| Last updated in NPPES | Aug 12, 2024 |
| Certified by provider | Aug 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 4780 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (LA); Practitioner - Qualified Speech Language Pathologist (MS) |
|---|
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Other Speech-Language Pathologist providers in Liberty
- 1699622332
- 1013811611
- 1003142175
- 1437855285