Individual
MRS. STEPHANIE PIERONI OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1635 BOLING ST, JACKSON, MS 39213-4418
(601) 366-0123
(601) 366-0649
Mailing address
1635 BOLING ST, JACKSON, MS 39213-4418
(601) 366-0123
(601) 366-0649
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S2766
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9015618
—
MS
Enumeration date
03/17/2008
Last updated
03/17/2008
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