Andrea Carol Staten M.S. CCC-SLP

NPI 1497154355 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1497154355
Gender Female
Enumeration Date 08/17/2014
Last Updated 11/10/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
146 YOCONA RIDGE RD
OXFORD MS, 38655-6904, US
Phone (662) 934-9885
Fax
Business Location
146 YOCONA RIDGE RD
OXFORD MS, 38655-6904, US
Phone (662) 934-9885
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Mississippi
License Number S2354
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According to our database, Ms. Andrea Carol Staten M.S. CCC-SLP NPI is 1497154355, taxonomy code is 235Z00000X and license number is S2354, license state is located at Mississippi. Andrea Carol Staten M.S. CCC-SLP physically located at 146 Yocona Ridge Rd, Oxford MS, 38655-6904. NPI Number Andrea Carol Staten M.S. CCC-SLP has the Individual type.

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1497154355 NPI number is provided on an as is basis without warranty of any kind. 1497154355 is maintained by the National Plan & Provider Enumeration System. The contents of Andrea Carol Staten M.S. CCC-SLP are for informational purposes only.