Organization
PINE BELT VOICE AND SWALLOWING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER STANDLAND (SOLE MEMBER)
(601) 402-4994
Entity
Organization
Contact information
Practice address
3004 NAVAJO CIR, HATTIESBURG, MS 39402-2446
(601) 402-4994
Mailing address
3004 NAVAJO CIR, HATTIESBURG, MS 39402-2446
(601) 402-4994
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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