Organization
ELISHA'S SPEECH AND LANGUAGE SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELISHA ROKIA HARRELL SLP/OWNER (SPEECH LANGUAGE PATHOLOGIST/OWNER)
(228) 865-0117
Entity
Organization
Contact information
Practice address
3506 WASHINGTON AVENUE, STE. E, GULFPORT, MS 39507
(228) 865-0117
(228) 865-0119
Mailing address
3506 WASHINGTON AVENUE, STE. E, GULFPORT, MS 39507
(228) 865-0117
(228) 865-0119
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
273Y00000X
Rehabilitation Hospital Unit
—
—
Other
Enumeration date
02/03/2009
Last updated
01/20/2023
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