Individual
MS. CORNEISHA J RICHMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
213 ALLEN DR, BRANDON, MS 39047-4617
(601) 927-3795
(888) 408-8272
Mailing address
213 ALLEN DR, BRANDON, MS 39047-4617
(601) 927-3795
(888) 408-8272
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S4209
MS
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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