# PEDSTEAM LLC

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

## Provider details

- **NPI number:** 1568191435
- **Authorized official:** MRS. RACHEL LYNN JONES MS, CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (870) 476-5639

## Contact information

- **Practice address:** 6952 DOGWOOD MNR N STE 101, OLIVE BRANCH, MS 38654-2090
- **Practice address phone:** (662) 932-4625
- **Practice address fax:** (662) 932-4626
- **Mailing address:** 4228 VINEYARD DR E, SOUTHAVEN, MS 38672-6068
- **Mailing address phone:** (870) 476-5639

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | — | NULL | Yes |
| 235Z00000X | Speech-Language Pathologist | — | — | Yes |

## Other

- **Enumeration date:** 06/07/2022
- **Last updated:** 10/03/2022