Individual
JERI L. THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ST
Contact information
Practice address
121 SANDRA CIR, DREW, MS 38737-3258
(662) 745-2564
(662) 843-0751
Mailing address
121 SANDRA CIR, DREW, MS 38737-3258
(662) 745-2564
(662) 843-0751
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S0308
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00125375
—
MS
Enumeration date
11/07/2007
Last updated
12/02/2009
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