Doctor Name: | MRS. JEAN S MIDDLETON |
NPI Number: | 1427204437 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | S3244 |
Business Practice Address: | 235 County Road 251 Saltillo, MS - 388668755 |
Business Phone Number: | 6622313220 |
Business Fax Number: | 6628697153 |
Mailing Address: | 1400 Morning Glory Cir, TUPELO |
State: | MS |
Postal Code: | 388018411 |
Phone Number: | 6622313220 |
Fax Number: | 6628697153 |
NPI Enumeration Date: | 08/09/2008 |
NPI Last Update Date: | 08/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | S3244 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |