Organization
SAY IT AGAIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DELISHA DIANE SPEECH CCC-SLP (SPEECH LANGUGE PATHOLOGIST)
(601) 201-9313
Entity
Organization
Contact information
Practice address
1 PROFESSIONAL PKWY, SUITE 1B, RIDGELAND, MS 39157-4236
(601) 201-9313
(601) 790-7101
Mailing address
1 PROFESSIONAL PKWY, SUITE 1B, RIDGELAND, MS 39157-4236
(601) 201-9313
(601) 790-7101
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S2982
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07326861
—
MS
Enumeration date
12/30/2016
Last updated
12/30/2016
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