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General NPI Number Information
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NPI Number | 1376719005
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Entity Type | Organization
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Legal Business Name | TOTS TO TEENS COMMUNICATION THERAPY
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Dates
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Enumeration Date | 05/02/2008
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 416 NORTH HAUGH AVE.
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City | PICAYUNE
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State | MS
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Zip | 39466-3916
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Country | US
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Telephone | 769-356-8931
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Fax | 601-620-4117
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Provider Business Mailing Address
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Address Line | 416 NORTH HAUGH AVE.
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City | PICAYUNE
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State | MS
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Zip | 39466-5363
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Country | US
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Telephone | 769-356-8931
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Fax | 601-620-4117
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Authorized Official
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Title or Position | SPEECH THERAPIST
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Name | STEPHANIE M THERIONT
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Credential | MS CCC SLP
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Telephone | 601-799-4065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | S3081
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License Number State | MS
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