Organization
MS SCHOOL FOR THE DEAF AND BLIND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSIE PRIDGEN (INTERIM SUPERINTENDENT MSD)
(601) 984-8203
Entity
Organization
Contact information
Practice address
1253 EASTOVER DR, JACKSON, MS 39211-6315
(601) 984-8036
(601) 984-8030
Mailing address
1253 EASTOVER DR, JACKSON, MS 39211-6315
(601) 984-8036
(601) 984-8030
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AO661
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00076026
—
MS
05
—
06575367
—
MS
Enumeration date
12/01/2006
Last updated
08/22/2020
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