Individual
MRS. LAURA LOVE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., C.C.C.
Contact information
Practice address
4500 I 55 N, SUITE 291, HIGHLAND VILLAGE, JACKSON, MS 39211-5930
(601) 362-0859
(601) 362-0870
Mailing address
PO BOX 242, RAYMOND, MS 39154-0242
(601) 857-0556
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S2226
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120957
—
MS
Enumeration date
08/20/2007
Last updated
08/20/2007
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