Individual
RACHEL RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
118 COLLEGE DR # 5215, HATTIESBURG, MS 39406-0002
(601) 266-5223
(601) 266-6763
Mailing address
118 COLLEGE DR # 5215, HATTIESBURG, MS 39406-0002
(601) 266-5223
(601) 266-6763
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3169
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S3169
MS STATE BOARD OF HEALTH
MS
Enumeration date
12/17/2008
Last updated
01/12/2012
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