Individual
MARY KATE WHELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
7160 TCHULAHOMA RD STE 4, SOUTHAVEN, MS 38671-9266
(662) 349-2733
(662) 536-1849
Mailing address
7160 TCHULAHOMA RD STE 4, SOUTHAVEN, MS 38671-9266
(662) 349-2733
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3463
MS
Other
Enumeration date
02/19/2013
Last updated
02/19/2013
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