Desoto Familycounseling Center
NPI #1114469640 in Southaven, Mississippi
Provider Information
- NPI Number
- 1114469640
- Entity Type
- Organization
- Organization Name
- Desoto Familycounseling Center
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Nov 15, 2016
- Last Updated
- Nov 15, 2016
Practice Location
- Address
- 6858 SWINNEA RD
- Address 2
- BUILDING 4
- City
- Southaven
- State
- Mississippi
- ZIP Code
- 38671-9493
- Phone
- (662) 772-5937
Authorized Official
- Name
- AMANDA C WOOD
- Title
- OFFICE MANAGER
- Phone
- (662) 772-5937
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist - Pediatrics — Pediatrics |
| Occupational Therapist - Pediatrics — Pediatrics |
| Speech-Language Pathologist |
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