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MARY KATHERINE SODERSTROM MS CCC-SLP
NPI 1407419674
Speech-Language Pathologist in Natchez, MS

Active since April 15, 2019
54 SGT PRENTISS DR, NATCHEZ, MS 39120(601) 443-2100 Get Directions Write a Review

NPPES record last updated: June 3, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 3, 2019, Apr 15, 2019 (2 updates tracked since 2019).

About Mary Katherine Soderstrom Ms Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY KATHERINE SODERSTROM MS CCC-SLP (NPI 1407419674) is an individual speech-language pathologist provider in Natchez, Mississippi, licensed in North Carolina (13449) and active in the NPI registry since April 2019. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1407419674
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMARY KATHERINE SODERSTROMCredential: MS CCC-SLP
Location Address54 SGT PRENTISS DRNatchez, MS 39120
Mailing Address54 Sgt Prentiss DrNatchez, MS 39120-4726
Phone(601) 443-2100
Sole ProprietorNo
Enumeration DateApril 15, 2019
Last NPPES UpdateJune 3, 20192 updates tracked since enumeration
✔ NPI 1407419674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in NC · 13449
Definition
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.
54 SGT PRENTISS DR, Natchez, MS 39120
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Secondary Practice Locations 2

Location 1830 Bethany Church RdForest City, NC 28043-8106 · Phone (828) 245-5164
Location 254 Sgt Prentiss DrNatchez, MS 39120-4726 · Phone (601) 443-2100

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACK DUNN M.D.
Anesthesiology
54 SGT PRENTISS DR
NATCHEZ, MS 39120
Adams County (601) 443-2120
MRS. BRYNNA KORIN BURNSED PA
Physician Assistant
54 SGT PRENTISS DR
NATCHEZ, MS 39120
Adams County (601) 443-2100
COURTNEY JEFFUS FNP
Nurse Practitioner (Family)
54 SGT PRENTISS DR
NATCHEZ, MS 39120
Adams County (601) 443-2680
NATCHEZ REGIONAL ANESTHESIA
Anesthesiology
54 SGT PRENTISS DR
NATCHEZ, MS 39120
Adams County (601) 443-2100
DR. FREDERICK PAUL RAGAN MD
Family Medicine
54 SGT PRENTISS DR
NATCHEZ, MS 39120
Adams County (601) 443-2100
EAR, NOSE & THROAT OF NATCHEZ
Otolaryngology
54 SGT PRENTISS DR
NATCHEZ, MS 39120
Adams County (601) 445-8100
MRS. MELISSA ANN WISNER NP
Nurse Practitioner
54 SGT PRENTISS DR
NATCHEZ, MS 39120
Adams County (601) 490-7070
NATCHEZ REGIONAL MEDICAL CENTER
Specialist
54 SGT PRENTISS DR
NATCHEZ, MS 39120
Adams County (601) 442-3690

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Soderstrom's NPI number?

The NPI number for Mary Soderstrom is 1407419674. It was assigned to this individual provider in the NPPES registry on April 15, 2019.

Where is Mary Soderstrom located?

Mary Soderstrom practices at 54 Sgt Prentiss Dr, Natchez, MS 39120. The listed phone number is (601) 443-2100.

What is Mary Soderstrom's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Mary Soderstrom was last updated on June 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.