Individual
TEANDRA AVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
27190 HIGHWAY 28, HAZLEHURST, MS 39083-2200
(601) 574-7000
Mailing address
941 VALENCIA ST, JACKSON, MS 39204-4609
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S-4946
MS
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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