Speech, Delisha Diane
Speech, Delisha Diane is an sole proprietor health care provider with primary practice located at 102 Huntington Hill Dr , Clinton MS 39056-6346. 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. Speech, Delisha Diane can be contacted via phone (601) 201-9313.Contact Information
Primary practice address
102 Huntington Hill Dr
Clinton MS 39056-6346
Phone: (601) 201-9313
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | S29282 | Mississippi |
Profile Details
| NPI number | 1376726075 |
|---|---|
| LBN Legal business name | Speech, Delisha Diane |
| Credentials | M.S., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 17th, 2007 |
| Last updated | Dec 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376726075 | NPPES |
| Mississippi | MEDICAID | 07326861 |
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