Individual
TERESA STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
60040 TAWANA LN, AMORY, MS 38821-8626
(662) 315-7481
Mailing address
60040 TAWANA LN, AMORY, MS 38821-8626
(662) 315-7481
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S0918
MS
Other
Enumeration date
05/07/2015
Last updated
03/09/2026
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