Individual
MRS. REBECCA LEWIS HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 SAINT ANDREWS DR, B2#4, JACKSON, MS 39211-2511
(662) 902-2331
Mailing address
420 SAINT ANDREWS DR, B2 #4, JACKSON, MS 39211-2511
(662) 902-2331
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3547
MS
Other
Enumeration date
04/22/2011
Last updated
04/22/2011
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