Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Loren Kay Blackwell, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1790978690

Loren Kay Blackwell, CCC-SLP is a Speech-Language Pathologist in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2007.

Licensed in
MS
In the registry since
2007
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

13 Northtown Dr Ste 110
Jackson, MS 39211-3047
Phone: (601) 206-9195
Fax: (601) 957-8391
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence S3101 (MS)

Record details

NPI number1790978690
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedAugust 23, 2007
Last updated in NPPESAugust 23, 2007

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