Individual
CONNIE R WHELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
702 HIGHWAY 82 W, SUITE B, GREENWOOD, MS 38930-5069
(662) 455-5010
(662) 455-5468
Mailing address
1211 RIVER RD, GREENWOOD, MS 38930-4028
(662) 453-5066
(662) 455-3524
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S0417
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01327251
—
MS
Enumeration date
02/26/2007
Last updated
07/09/2007
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