Individual
TERRAL LATADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1511 JACKSON AVE, PASCAGOULA, MS 39567-4356
(228) 219-4793
(228) 533-2324
Mailing address
1511 JACKSON AVE, PASCAGOULA, MS 39567-4356
(228) 219-4793
(228) 533-2324
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14229602
MS
Other
Enumeration date
07/31/2017
Last updated
02/26/2026
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