Individual
BEVERLY PARHAM MASINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
16 STONEWOOD DR, COLUMBIA, MS 39429-8107
(601) 731-5196
Mailing address
16 STONEWOOD DR, COLUMBIA, MS 39429-8107
(601) 731-5196
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S0726
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09820000
—
MS
Enumeration date
01/04/2013
Last updated
05/06/2013
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