Porter, Mary Lauren

Porter, Mary Lauren is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Porter, Mary Lauren can be contacted via phone (601) 815-4969.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 815-4969
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X

Profile Details

NPI number 1942799150
LBN Legal business name Porter, Mary Lauren
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2018
Last updated Nov 5th, 2019 - about 7 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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