Most Relevant Information
Provider Data
| NPI Number: | 1003280702 |
| Provider Name: | LEAH CORI GREGORY-JOHNSON M.S., CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | S4044 |
Most Important Dates
| Enumeration Date: | 11/18/2015 |
| Last Updated: | 11/18/2015 |
Provider Practice Location
800 STANSEL DR
RULEVILLE
MS
387713320
Practice Location Phone/Fax
| Phone: | 6627564361 |
| Fax: |
Provider Mailing Location
800 STANSEL DR
RULEVILLE
MS
387713320
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |