Individual
CHRISTIAN MORGAN WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
91 WILLIAMS RD, SEMINARY, MS 39479-9009
(601) 297-7023
Mailing address
PO BOX 16901, HATTIESBURG, MS 39404-6901
(601) 297-7023
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S4589
MS
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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