Individual
SUSANNAH M SILVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ST
Contact information
Practice address
950 E COUNTY LINE RD, SUITE E, RIDGELAND, MS 39157-1928
(601) 853-9747
(601) 898-4761
Mailing address
950 E COUNTY LINE RD, SUITE E, RIDGELAND, MS 39157-1928
(601) 853-9747
(601) 898-4761
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
S3050
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APPLIED FOR
BCBS
MS
05
—
APPLIED FOR
—
MS
Enumeration date
05/14/2007
Last updated
09/23/2015
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