Braddock, Jessica Rose

Braddock, Jessica Rose is an individual health care provider with primary practice located at 23 Mason St , Laurel MS 39440-4437. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Braddock, Jessica Rose can be contacted via phone (601) 399-0539.

Contact Information

Primary practice address
23 Mason St Laurel MS 39440-4437
Phone: (601) 399-0539
Fax: (601) 399-1617
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X S3023 Mississippi

Profile Details

NPI number 1427181411
LBN Legal business name Braddock, Jessica Rose
Credentials MS CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated Mar 6th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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