Individual
TARA CLAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1451 N LAKELAND DR, MERIDIAN, MS 39307-9020
(601) 693-1042
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3272
MS
Other
Enumeration date
03/03/2009
Last updated
12/22/2010
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