Whalio Doctors

NPI 1053905273

Raney Watters, SLP

Practitioner Speech-Language Pathologist Jackson, MS

Practice location

Address
5903 Ridgewood Rd, Jackson, MS 39211-3700
Phone
(601) 899-3800
Mailing address
157 Dyke Rd APT 30, Ridgeland, MS 39157-9206

Registered specialties

Speech-Language Pathologist Primary
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence S3662 (MS)

Registry record

NPI
1053905273
Entity type
Individual
Sex (as registered)
Female
NPI issued
28 Feb 2021
Record last updated
28 Feb 2021

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.