Individual
MRS. LEANNA BRYANT BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
148 W CHERRY ST, CHOCTAW COUNTY NURSING HOME, ACKERMAN, MS 39735
(662) 285-6235
(601) 957-8391
Mailing address
PO BOX 315, TRINITY REHAB, RIDGELAND, MS 39158-0315
(601) 206-9195
(601) 957-8391
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3117
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014160
—
MS
Enumeration date
08/16/2007
Last updated
08/16/2007
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