Organization
SPEECH LANGUAGE PATHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEFFALYN TRAMMELL M.S.,C.C.C. (DIRECTOR PRESIDENT)
(601) 992-5370
Entity
Organization
Contact information
Practice address
1929 SPILLWAY RD STE A, BRANDON, MS 39047-6079
(601) 992-5370
(601) 992-5370
Mailing address
1929 SPILLWAY RD STE A, BRANDON, MS 39047-6079
(601) 992-5370
(601) 992-5370
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S0692
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09016147
—
MS
Enumeration date
04/24/2007
Last updated
08/22/2020
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