Individual
JAYANTI RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
250 BRANDY LN, CAPE GIRARDEAU, MO 63701-8443
(573) 339-0911
Mailing address
250 BRANDY LN, CAPE GIRARDEAU, MO 63701-8443
(573) 339-0911
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2004020293
MO
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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