Individual
ANNA REA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
950 E COUNTY LINE RD, SUITE C, RIDGELAND, MS 39157-1928
(601) 308-5117
(601) 308-5103
Mailing address
950 E COUNTY LINE RD, SUITE C, RIDGELAND, MS 39157-1928
(601) 308-5117
(601) 308-5103
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3775
MS
Other
Enumeration date
06/17/2016
Last updated
06/17/2016
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