Organization
DREAMCATCHER SPEECH AND LANGUAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA CAROL STATEN M.S., CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(662) 934-9885
Entity
Organization
Contact information
Practice address
146 YOCONA RIDGE RD, OXFORD, MS 38655-6904
(662) 934-9885
Mailing address
146 YOCONA RIDGE RD, OXFORD, MS 38655-6904
(662) 934-9885
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S2354
MS
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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