Individual
PENNY MARIE BISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
400 VETERANS AVE, ASPS 126, BILOXI, MS 39531-2410
(228) 523-5488
(228) 523-4518
Mailing address
96 BAYOU CIR, GULFPORT, MS 39507-4600
(228) 209-5849
(228) 523-4518
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S0277
MS
Other
Enumeration date
07/09/2006
Last updated
07/08/2007
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