Individual
MRS. TARA A. COURTNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
16 TUTWILER CIR, HATTIESBURG, MS 39402-7637
(601) 297-4489
Mailing address
16 TUTWILER CIR, HATTIESBURG, MS 39402-7637
(601) 297-4489
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S0721
MS
Other
Enumeration date
08/19/2010
Last updated
08/19/2010
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