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Individual

ASHLYN BROOKE BANES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
(601) 276-3900
Mailing address
4231 CHOCTAW RD NE, BROOKHAVEN, MS 39601-2985
(601) 754-9431

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5454
MS

Other

Enumeration date
12/23/2025
Last updated
12/23/2025
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