MEDICARE: MISS ROSALIE GARNER M.S., CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	S2124	MS

General Provider Information

NPI Number	:	1437356805
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS ROSALIE GARNER M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	103 CEDAR HILL DR
Second Line	:
City	:	OXFORD
State	:	MS
Zip	:	38655-6128
Country	:	US
Telephone Number	:	662-513-0309
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 GEORGE HALL REBEL DRIVE
Second Line	:
City	:	UNIVERSITY
State	:	MS
Zip	:	38677-1848
Country	:	US
Telephone Number	:	662-915-7271
Fax Number	:	662-915-5717

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2007
Last Update Date	:	07/08/2007

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Directions to “ MISS ROSALIE GARNER M.S., CCC-SLP” Practice Location

Language	Start Address	Practice Location

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