Individual
MRS. STEPHANIE DEANNE FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPEECH PATHOLOGIST
Contact information
Practice address
201 E. SECOND STREET, PICAYUNE, MS 39466
(601) 799-4065
(601) 799-4064
Mailing address
201 E. SECOND STREET, PICAYUNE, MS 39466
(601) 799-4065
(601) 799-4064
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/01/2009
Last updated
10/01/2009
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