Washington, Mickala

Washington, Mickala is an individual health care provider with primary practice located at 606 Silver Cv , Pearl MS 39208-5003. 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. Washington, Mickala can be contacted via phone (601) 942-3027.

Contact Information

Primary practice address
606 Silver Cv Pearl MS 39208-5003
Phone: (601) 942-3027
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X S-4690 Mississippi

Profile Details

NPI number 1497402432
LBN Legal business name Washington, Mickala
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2022
Last updated Mar 9th, 2022 - about 4 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 1497402432 NPPES
Mississippi MEDICAID S-4690

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