Individual
NANCY CAROLE BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
20 THE RAYS TRL SE, BOGUE CHITTO, MS 39629-8500
(601) 833-8363
(601) 833-0080
Mailing address
PO BOX 975, WESSON, MS 39191-0975
(601) 643-0153
(601) 833-0080
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S2198
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0126674
—
MS
Enumeration date
08/14/2006
Last updated
07/09/2007
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