Individual
AMETHYST WHITLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
711 LAKE HARBOUR DR, #1140, RIDGELAND, MS 39157-4300
(601) 906-6888
Mailing address
711 LAKE HARBOUR DR, #1140, RIDGELAND, MS 39157-4300
(601) 906-6888
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2013002841
MO
235Z00000X
Speech-Language Pathologist
Primary
S3718
MS
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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