| Shannon Jesiolowski, SLP | |
|
711 Avignon Dr, Ridgeland, MS 39157-5120 | |
| (601) 605-6777 | |
| (601) 607-1553 |
| Full Name | Shannon Jesiolowski |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 711 Avignon Dr, Ridgeland, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568729309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | S2360 (Mississippi) | Primary |
| Provider Name | Lighthouse Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1801367883 PECOS PAC ID: 8022350727 Enrollment ID: O20190429002824 |
| Provider Name | Pure Health Therapy Services Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1235845561 PECOS PAC ID: 3779957667 Enrollment ID: O20230315002680 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Jesiolowski, SLP 711 Avignon Dr, Ridgeland, MS 39157-5120 Ph: (601) 605-6777 | Shannon Jesiolowski, SLP 711 Avignon Dr, Ridgeland, MS 39157-5120 Ph: (601) 605-6777 |
Lori K Windle, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 711 Avignon Dr, Ridgeland, MS 39157 Phone: 601-605-6777 Fax: 601-607-1415 | |
Caitlin N Hajje, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 950 E County Line Rd Ste E, Ridgeland, MS 39157 Phone: 601-853-9747 Fax: 601-898-4761 | |
Abigail Griffin Scott, M.S. CFY-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 207 W Jackson St, Ridgeland, MS 39157 Phone: 601-362-0859 | |
Jessica C Jefcoat, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 711 Avignon Dr, Ridgeland, MS 39157 Phone: 601-605-6777 Fax: 601-607-1553 | |
Mrs. Joyce Lyle Massingill, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 711 Avignon Dr, Ridgeland, MS 39157 Phone: 601-605-6777 Fax: 601-605-8869 | |
Mrs. Laura Rounsaville Biddy, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 711 Avignon Dr, Ridgeland, MS 39157 Phone: 601-605-6777 Fax: 601-605-8869 | |
Lauren Barnacastle, CFY-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 711 Avignon Dr, Ridgeland, MS 39157 Phone: 601-605-6777 |