Individual
TYLER STANDLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3004 NAVAJO CIR, HATTIESBURG, MS 39402-2446
(601) 402-4994
Mailing address
3004 NAVAJO CIR, HATTIESBURG, MS 39402-2446
(601) 402-4994
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S-4909
MS
Other
Enumeration date
12/28/2024
Last updated
12/28/2024
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