Radicioni, Holly L
Radicioni, Holly L is an sole proprietor health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. 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. Radicioni, Holly L can be contacted via phone (601) 984-6426.Contact Information
Primary practice address
2500 N State St
Jackson MS 39216-4500
Phone: (601) 984-6426
Fax: (601) 984-6439
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | S3134 | Mississippi |
Profile Details
| NPI number | 1588780050 |
|---|---|
| LBN Legal business name | Radicioni, Holly L |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Mar 6th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588780050 | NPPES |
| Mississippi | MEDICAID | 07732813 |
Popular Providers
-
Luzardo, Julie Rushing
2500 N State St , Jackson MS 39216-4500 -
Means, Cassie F
1350 E Woodrow Wilson Ave , Jackson MS 39216-5112 -
Mitchell, Ashley B.
4500 I 55 N Suite 291, Highland Village, Jackson MS 39211-5930 -
Ross, Ajuanzie Lucianna
225 Jasmine Dr , Jackson MS 39212-3283 -
Huth, Anna Kathryn
4500 I-55 North Highland Village, Suite 291, Jackson MS 39211 -
Chapman, Buffye L
544 Hillandale Dr , Jackson MS 39212-3249 -
Haas, Rebecca H
5345 Canton Heights Dr , Jackson MS 39211-4518 -
Edwards, Roberta W
4607 Lindbergh Dr , Jackson MS 39209-3855