Organization
TOTS TO TEENS COMMUNICATION THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE M THERIONT MS CCC SLP (SPEECH THERAPIST)
(601) 799-4065
Entity
Organization
Contact information
Practice address
416 NORTH HAUGH AVE., PICAYUNE, MS 39466-3916
(769) 356-8931
(601) 620-4117
Mailing address
416 NORTH HAUGH AVE., PICAYUNE, MS 39466-5363
(769) 356-8931
(601) 620-4117
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3081
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02020221
—
MS
Enumeration date
05/02/2008
Last updated
12/03/2025
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