# SOUTHERN SMALL TALK

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366879348
- **Authorized official:** RACHEL ANDERSON (PRESIDENT/SPEECH PATHOLOGIST)
- **Authorized official phone:** (601) 527-5969

## Contact information

- **Practice address:** 849 WILLOW GRANDE CIR, BRANDON, MS 39047-8352
- **Practice address phone:** (601) 527-5969
- **Mailing address:** 849 WILLOW GRANDE CIR, BRANDON, MS 39047-8352
- **Mailing address phone:** (601) 527-5969

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | S3417 | MS | Yes |

## Other

- **Enumeration date:** 10/04/2013
- **Last updated:** 10/04/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00726008 | — | MS |
