Sparkman, Telecia

Sparkman, Telecia is an individual health care provider with primary practice located at 1901 Mission 66 Suite A, Vicksburg MS 39180-3711. 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. Sparkman, Telecia can be contacted via phone (601) 638-4076.

Contact Information

Primary practice address
1901 Mission 66 Suite A Vicksburg MS 39180-3711
Phone: (601) 638-4076
Fax: (601) 638-4979
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X S2902 Mississippi

Profile Details

NPI number 1588743280
LBN Legal business name Sparkman, Telecia
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Jul 8th, 2007 - about 19 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 1588743280 NPPES
Mississippi MEDICAID 05259874
Mississippi Other 7128623

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