Theriot, Stephanie M
Theriot, Stephanie M is an sole proprietor health care provider with primary practice located at 621 W Canal St , Picayune MS 39466-3916. 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. Theriot, Stephanie M can be contacted via phone (601) 889-9800.Contact Information
Primary practice address
621 W Canal St
Picayune MS 39466-3916
Phone: (601) 889-9800
Fax: (601) 889-9885
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | S3081 | Mississippi |
Profile Details
| NPI number | 1881722627 |
|---|---|
| LBN Legal business name | Theriot, Stephanie M |
| Credentials | MS CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | Nov 16th, 2023 - about 3 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 | 1881722627 | NPPES |
| Mississippi | MEDICAID | 02020221 |
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