Individual
RACHEL W ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
4500 I-55 N, SUITE 291, HIGHLAND VILLAGE, JACKSON, MS 39211-5930
(601) 362-0859
(601) 362-0870
Mailing address
4500 I-55 NORTH, SUITE 291, HIGHLAND VILLAGE, JACKSON, MS 39211
(601) 362-0859
(601) 362-0870
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3417
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S3417
MISSISSIPPI STATE DEPARTMENT OF HEALTH LICENSE
MS
Enumeration date
01/11/2010
Last updated
06/22/2021
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