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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CODIE JACLYN GREEN

Active Sole Proprietor

CODIE JACLYN GREEN is a Speech, Language and Hearing Specialist healthcare provider located in SUMRALL, Mississippi. NPI 1225769482 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · SUMRALL, MS

Registration Details

NPI Number
1225769482
Provider Type
Individual
Gender
Female
NPI Issued
Jun 20, 2022 (4.1319692384925 yrs)
Last Updated
Jun 20, 2022
License
S-4294 (MS)
Sole Proprietor
Yes

Practice Information

Address
668 OLD SALT RD
SUMRALL, MS, 394824232
Browse MS providers · Browse ZIP 39482
Phone
6012706968
Fax
6013365255
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in SUMRALL, MS

Name Credential NPI
MEGAN MILLER LEE 1295960359
MISS JESSICA RENEE PARKER M.S. 1205224649
AMEE LYNNE WAYTON M.S., CCC-SLP 1871003624
SKYLAR MICHELLE ODOM 1013488998
SARAH MCGREW LOWERY SLP 1902795206
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.