Individual
RACHEL TYRONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 NORTH STATE STREET, JACKSON, MS 39216-4500
(601) 815-4969
(601) 984-1531
Mailing address
2500 NORTH STATE STREET, JMM ROOM 2525, JACKSON, MS 39216-4500
(601) 984-6426
(601) 984-6439
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09482564
—
MS
Enumeration date
12/07/2015
Last updated
04/21/2016
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