Organization
SPEECH DEPOT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAMEKA HOOKS-TENORT M.S., CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(769) 798-7378
Entity
Organization
Contact information
Practice address
665 S PEAR ORCHARD RD, SUITE 106-185, RIDGELAND, MS 39157-4861
(601) 757-6954
Mailing address
665 S PEAR ORCHARD RD, SUITE 106-185, RIDGELAND, MS 39157-4861
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3351
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12130639
AMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION
MS
01
—
S3351
MS HEALTH LICENSURE
MS
Enumeration date
06/02/2016
Last updated
04/05/2018
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