Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1881722627 Individual Practitioner Female Practitioner

Stephanie M Theriot , MS CCC-SLP

Speech-Language Pathologist • Picayune, MS

Professional Overview & Biography Verified Profile Summary

Stephanie Theriot, MS CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Picayune, MS. Practice services are available at 416 NORTH HAUGH AVE. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

416 North Haugh Ave.

Picayune, MS 394663916

Telephone 7693568931
Fax 6016204117
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Picayune, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 38.0 Yrs
State Avg: 12.7 Yrs
Regional Practice Density
17 Specialists

Practicing in Picayune, MS (1519 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-12-02
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MS S3081

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
02020221 (MS)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Karly Slade , COTA, L

Occupational Therapy Assistant

NPI 1043769458

Certified Occupational Therapy Assistant, L

Stacey Vollenweider , OTR, L

Occupational Therapist

NPI 1417245648

Occupational Therapist Registered, L

Morgan Prince , MA CF- SLP

Speech-Language Pathologist

NPI 1477473668

MACFSLP

Sara Braddy , MOTR, L

Occupational Therapist

NPI 1710312442

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location December 02, 2025

Registered at 416 NORTH HAUGH AVE., PICAYUNE, MS 394663916 (Tel: 7693568931)

📍
Updated Business Mailing Address December 02, 2025

Registered at 416 NORTH HAUGH AVE., PICAYUNE, MS 394663916 (Tel: 7693568931)

📍
Updated Practice Location November 16, 2023

Registered at 621 W CANAL ST, PICAYUNE, MS 394663916 (Tel: 6018899800)

📍
Updated Business Mailing Address November 16, 2023

Registered at 621 W CANAL ST, PICAYUNE, MS 394663916 (Tel: 6018899800)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 722 W CANAL ST, PICAYUNE, MS 394663900 (Tel: 6017994065)

📍
Updated Business Mailing Address July 08, 2007

Registered at 722 W CANAL ST, PICAYUNE, MS 394663900 (Tel: 6017994065)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as STEPHANIE THERIOT, MS CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (License #S3081 in MS)

🟢
Initial NPI Registration & Enumeration March 02, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1881722627
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 02, 2007
Last Update: December 02, 2025
Sole Proprietor: Yes

Mailing Address

416 North Haugh Ave.

Picayune, MS 394663916

Phone: 7693568931

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.