Individual
MRS. JANE WHINERY STANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. ,CCC-SLP
Contact information
Practice address
159 ROAD 1067, TUPELO, MS 38804-9232
(662) 791-9179
Mailing address
159 ROAD 1067, TUPELO, MS 38804-9232
(662) 791-9179
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S0715
MS
Other
Enumeration date
01/31/2011
Last updated
01/31/2011
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