MARY SANDERSON - NPI 1760310403 - Speech-Language Pathologist in Brandon, MS

Q: What is Mary Sanderson's NPI number?

The NPI number for Mary Sanderson is 1760310403. It was assigned to this individual provider in the NPPES registry on May 12, 2026.

Q: What is Mary Sanderson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Sanderson was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

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About Mary Sanderson NPPES

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

MARY SANDERSON (NPI 1760310403) is an individual speech-language pathologist provider in Brandon, Mississippi, licensed in Mississippi (S-5478) and active in the NPI registry since May 2026. She is a graduate of Other (2020).

NPPES Registry Identity

NPI1760310403

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMARY SANDERSON

Location Address1476 W GOVERNMENT ST STE BBrandon, MS 39042-3051

Mailing Address1200 Corporate Dr Ste 400Hoover, AL 35242-5424 · (423) 238-7217

Phone(601) 914-6440

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMay 12, 2026

NPPES CertifiedMay 12, 2026

✔ NPI 1760310403 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 MS · S-5478

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.

1476 W GOVERNMENT ST STE B, Brandon, MS 39042

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Sanderson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022587039

PECOS Enrollment IDI20260519004418

Other Providers at the Same Location NPPES 7

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

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