Breaking Boundaries, LLC
NPI #1528609278 in Ellisville, Mississippi
Provider Information
- NPI Number
- 1528609278
- Entity Type
- Organization
- Organization Name
- Breaking Boundaries, LLC
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Oct 3, 2019
- Last Updated
- Oct 3, 2019
Practice Location
- Address
- 471 HIGHWAY 590
- City
- Ellisville
- State
- Mississippi
- ZIP Code
- 39437-8241
- Phone
- (601) 319-4056
Authorized Official
- Name
- AMY E YOUNG, MS CCC-SLP
- Title
- MANAGER
- Phone
- (601) 319-4056
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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