Individual
MRS. ANNA KATHRYN HUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
4500 I-55 NORTH, HIGHLAND VILLAGE, SUITE 291, JACKSON, MS 39211
(601) 362-0859
Mailing address
127 ANNANDALE PKWY E, MADISON, MS 39110-7899
(601) 605-0893
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S2837
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00155727
—
MS
01
—
S2837
MS BOARD OF HEALTH
MS
Enumeration date
03/28/2007
Last updated
07/08/2007
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