Individual
MRS. RITA M. HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCCSLP
Contact information
Practice address
24313 OAKLAWN PLANTATION RD, PASS CHRISTIAN, MS 39571-8967
(228) 452-5100
Mailing address
24313 OAKLAWN PLANTATION RD, PASS CHRISTIAN, MS 39571-8967
(228) 452-5100
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S2785
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40762258
TRICARE
MS
Enumeration date
06/11/2007
Last updated
07/08/2007
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