Individual
MS. BRIDGET LEIGH PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPEECH-LANGUAGE PATH
Contact information
Practice address
1315 HIGHWAY 4 E, HOLLY SPRINGS, MS 38635-2112
(662) 252-1141
Mailing address
1315 HIGHWAY 4 E, HOLLY SPRINGS, MS 38635-2112
(662) 252-1141
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S2558
MS
Other
Enumeration date
05/21/2009
Last updated
05/21/2009
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