Brunson, Dorothy Angela

Brunson, Dorothy Angela is an individual health care provider with primary practice located at 2500 N State St Dept Of Otolaryngology, Jackson MS 39216-4500. 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. Brunson, Dorothy Angela can be contacted via phone (601) 984-4555.

Contact Information

Primary practice address
2500 N State St Dept Of Otolaryngology Jackson MS 39216-4500
Phone: (601) 984-4555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X S2429 Mississippi

Profile Details

NPI number 1821240524
LBN Legal business name Brunson, Dorothy Angela
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2008
Last updated Jan 7th, 2014 - about 12 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 1821240524 NPPES
Mississippi MEDICAID 00981345

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