Netter, Jasanda Wyketta

Netter, Jasanda Wyketta is an sole proprietor health care provider with primary practice located at 607 Rosemary Rd Apt. # 39, Cleveland MS 38732-2053. 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. Netter, Jasanda Wyketta can be contacted via phone (662) 719-1825.

Contact Information

Primary practice address
607 Rosemary Rd Apt. # 39 Cleveland MS 38732-2053
Phone: (662) 719-1825
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X S3046 Mississippi

Profile Details

NPI number 1619282878
LBN Legal business name Netter, Jasanda Wyketta
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2010
Last updated Aug 12th, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619282878 NPPES
Mississippi MEDICAID 04471273

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