Individual
MS. PAULISHA TRENISE FARRISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
6316 LYNDON B JOHNSON DR, JACKSON, MS 39213-2921
(601) 850-8380
Mailing address
124 GRAY DR, HAZLEHURST, MS 39083-2828
(601) 946-1450
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S4420
MS
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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