Individual
MRS. NEVA STACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
920 N FOURTH ST, BALDWYN, MS 38824-1121
(662) 365-7840
Mailing address
920 N FOURTH ST, BALDWYN, MS 38824-1121
(662) 365-7840
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S2300
MS
Other
Enumeration date
07/31/2008
Last updated
08/01/2008
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