Organization
TERA WALTERS THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERA WALTERS M.S. CCC-SLP (OWNER/MANAGER)
(251) 680-9686
Entity
Organization
Contact information
Practice address
110 AMBER LN, LUCEDALE, MS 39452-8623
(251) 680-9686
Mailing address
148 RIDGE HILL DR, LUCEDALE, MS 39452-2838
(251) 680-9686
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
12/12/2018
Last updated
02/07/2025
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