Individual
DELISHA DIANE SPEECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
102 HUNTINGTON HILL DR, CLINTON, MS 39056-6346
(601) 201-9313
Mailing address
102 HUNTINGTON HILLS DRIVE, CLINTON, MS 39056
(601) 201-9313
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S29282
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07326861
—
MS
Enumeration date
12/17/2007
Last updated
12/17/2007
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