Individual
ELIZABETH A GOCHNOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
105 N COURT ST, WATER VALLEY, MS 38965-1806
(662) 473-0012
(662) 473-0013
Mailing address
PO BOX 594, WATER VALLEY, MS 38965-0594
(662) 473-0012
(662) 473-0013
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3049
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04901381
—
MS
Enumeration date
10/27/2007
Last updated
10/27/2007
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