Individual
MRS. VISTA SULLIVAN HERRING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4522 HIGHWAY 84 E, MEADVILLE, MS 39653-8159
(601) 384-7559
Mailing address
PO BOX 391, MEADVILLE, MS 39653-0391
(601) 384-7559
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3387
MS
Other
Enumeration date
07/09/2010
Last updated
08/11/2010
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