Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Renita Monae Isom, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1922446814

Renita Monae Isom, MSCCC-SLP is a Speech-Language Pathologist in Southaven, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2013

Practice location Address checks out

7160 Tchulahoma Rd Ste 4
Southaven, MS 38671-9266
Phone: (662) 544-0156
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence S3566 (MS)

Record details

NPI number1922446814
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedJune 12, 2013
Last updated in NPPESJune 12, 2013

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