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Contact Information

MISSISSIPPI STATE UNIVERSITY
326 HARDY ROAD
MISSISSIPPI STATE UNIVERSITY, MS39762
 Phone: 662-325-1028
 Fax: 662-325-0896
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
 

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for MISSISSIPPI STATE UNIVERSITY · (Female)

NPI # 1720581374
Status Active
Credentials
Entity Individual
Enumeration date 03/09/2018
Last updated 03/09/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • MS License # S0478
  • MS License # S0482
  • MS License # S2375
  • MS License # TA2922
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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