| Heather Ezell, | |
|
53 Redfern Trl, Petal, MS 39465-2672 | |
| (601) 520-2352 | |
| Not Available |
| Full Name | Heather Ezell |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 53 Redfern Trl, Petal, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245049154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | S-4734 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Ezell, 53 Redfern Trl, Petal, MS 39465-2672 Ph: (601) 520-2352 | Heather Ezell, 53 Redfern Trl, Petal, MS 39465-2672 Ph: (601) 520-2352 |
Mrs. Sherry Lazenby Mulling, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 54 Lazenby Rd, Petal, MS 39465 Phone: 601-545-2103 | |
Lesley Thomas Ellison, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 314 Bryant St, Petal, MS 39465 Phone: 601-544-0391 |