Individual
REBECCA H HAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
5345 CANTON HEIGHTS DR, JACKSON, MS 39211-4518
(912) 441-9573
(888) 766-7479
Mailing address
5345 CANTON HEIGHTS DR, JACKSON, MS 39211-4518
(912) 441-9573
(888) 766-7479
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3729
MS
235Z00000X
Speech-Language Pathologist
SLP005804
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
322067831A
—
GA
Enumeration date
05/12/2006
Last updated
04/09/2013
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