Austin, Siedah

Austin, Siedah is an sole proprietor health care provider with primary practice located at 4836 Chastain Dr , Jackson MS 39206-5062. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Austin, Siedah can be contacted via phone (601) 454-4877.

Contact Information

Primary practice address
4836 Chastain Dr Jackson MS 39206-5062
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X S3711 Mississippi

Profile Details

NPI number 1326428764
LBN Legal business name Austin, Siedah
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2015
Last updated Jun 1st, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326428764 NPPES
Maryland Other 12150448 AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION

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