NPI 1003172149

Communication Connects

Organisation Early Intervention Provider Agency Jackson, MS

Practice location

Address: 225 Jasmine Dr, Jackson, MS 39212-3283
Phone: (601) 750-3843
Fax: (601) 346-7937

Authorised official

Name: Ajuanzie Lucianna Ross-Johnson
Title: Speechpathologist
Phone: (601) 750-3843

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence S3090 (MS)

Other Early Intervention Provider Agency providers in Mississippi →

Registry record

NPI: 1003172149
Entity type: Organization
NPI issued: 3 Apr 2012
Record last updated: 3 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.