Individual
MRS. JILL TERRY CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,CFY-SLP
Contact information
Practice address
711 AVIGNON DR, RIDGELAND, MS 39157-5120
(601) 605-6777
(601) 605-8869
Mailing address
5398 COUNTY ROAD 211, CARROLLTON, MS 38917-4656
(662) 816-2382
(601) 605-8869
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3176
MS
Other
Enumeration date
09/06/2007
Last updated
11/16/2020
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