Individual
MARY SANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1476 W GOVERNMENT ST STE B, BRANDON, MS 39042-3051
(601) 914-6440
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S-5478
MS
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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