Organization
LAUREL SPEECH, LANGUAGE AND HEARING CTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANITA C. THAMES CCC-SLP (SPEECH/LANGUAGE PATHOLOGIST)
(601) 426-6116
Entity
Organization
Contact information
Practice address
KAMPERS ALLEY #3, LAUREL, MS 39440
(601) 426-6116
(601) 425-5829
Mailing address
PO BOX 2694, LAUREL, MS 39442-2694
(601) 426-6116
(601) 425-5829
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
34S0303
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0901712
—
MS
Enumeration date
10/10/2006
Last updated
08/22/2020
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