Individual
MRS. JUDY W. HEARNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD,CCC-SLP
Contact information
Practice address
102 INDUSTRIAL PARK CIRCLE, OCEAN SPRINGS, MS 39564-5836
(228) 872-0705
(228) 872-6996
Mailing address
102 INDUSTRIAL PARK CIR, OCEAN SPRINGS, MS 39564-5836
(228) 872-0705
(228) 872-6996
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S0166
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0110640
—
MS
01
—
685381
ACN
MS
Enumeration date
04/25/2007
Last updated
07/08/2007
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