Most Relevant Information
Provider Data
| NPI Number: | 1003282740 |
| Provider Name: | ALLIE PRATER CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | S3855 |
Most Important Dates
| Enumeration Date: | 08/17/2015 |
| Last Updated: | 08/17/2015 |
Provider Practice Location
410 CARLTON PARK DR
FLOWOOD
MS
392325515
Practice Location Phone/Fax
| Phone: | 6623169236 |
| Fax: |
Provider Mailing Location
410 CARLTON PARK DR
FLOWOOD
MS
392325515
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |