Ajuanzie Lucianna Ross in Jackson - Speech-language Pathologist

Ajuanzie Lucianna Ross - NPI 1295946655

Ajuanzie Lucianna Ross is a Speech-language Pathologist in Jackson, Mississippi. Ajuanzie Lucianna Ross practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Ajuanzie Lucianna Ross is 1295946655. The last update date is 2007-07-08.

Ajuanzie Lucianna Ross's current location address is 225 Jasmine Dr, Jackson, Mississippi. You can contact this provider via phone number 6017503843 and fax number 8774701926. The mailing address for Ajuanzie Lucianna Ross is 225 Jasmine Dr, Jackson, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Ajuanzie Lucianna Ross
Address 225 Jasmine Dr, Jackson, Mississippi
Phone Number 6017503843
Fax Number 8774701926
Sole Proprietor Y
Credentials MS.,CCC-SL

NPI Number Detail

NPI Number 1295946655
Provider Enumeration Date 2007-05-25
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 225 Jasmine Dr
City Jackson
State Mississippi (MS)
Post Code 392123283
Phone Number 6017503843
Fax Number 8774701926

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Licence No S3090
Definition:
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe

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FAQs about Ajuanzie Lucianna Ross

What is the unique identifier code issued to Ajuanzie Lucianna Ross by the Centers for Medicare & Medicaid Services?

The Ajuanzie Lucianna Ross has been assigned the NPI (National Provider Identifier) 1295946655. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Ajuanzie Lucianna Ross is physically located?

The Ajuanzie Lucianna Ross is situated at the following address: 225 Jasmine Dr, Jackson, MS 392123283.

What is Ajuanzie Lucianna Ross's specialized field of practice, and what is the corresponding taxonomy classification code?

The Ajuanzie Lucianna Ross's area of specialization is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this field of practice is 235Z00000X.

When was the Ajuanzie Lucianna Ross's 1295946655 issued?

The Ajuanzie Lucianna Ross's 1295946655 was issued on 2007-05-25.

As of what date were the Ajuanzie Lucianna Ross's details last updated?

The information pertaining to the Ajuanzie Lucianna Ross, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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