Organization
COMMUNICATION CONNECTION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE DEANNE FARRELL SLP (SPEECH PATHOLOGIST)
(601) 798-6900
Entity
Organization
Contact information
Practice address
117B N MAIN ST, PICAYUNE, MS 39466-3928
(601) 798-6900
(601) 798-6975
Mailing address
117B N MAIN ST, PICAYUNE, MS 39466-3928
(601) 798-6900
(601) 798-6975
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3402
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04578859
—
MS
Enumeration date
03/14/2011
Last updated
03/14/2011
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