Individual
JENA DIMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
6858 SWINNEA RD, BUILDING 4, SOUTHAVEN, MS 38671-9493
(662) 772-5937
(662) 772-5940
Mailing address
6858 SWINNEA RD, BUILDING 4, SOUTHAVEN, MS 38671-9493
(662) 772-5937
(662) 772-5940
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3667
MS
Other
Enumeration date
09/03/2016
Last updated
09/03/2016
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