Individual
COURTNEY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5880 RIDGEWOOD RD, APT Q137, JACKSON, MS 39211-2695
(601) 503-7277
Mailing address
5880 RIDGEWOOD RD, APT Q137, JACKSON, MS 39211-2695
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3819
MS
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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