Provider Demographics
NPI:1609030808
Name:ALLEN-TURNER, TAMLA
Entity Type:Individual
Prefix:MRS
First Name:TAMLA
Middle Name:
Last Name:ALLEN-TURNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1065A CHINA GROVE RD
Mailing Address - Street 2:
Mailing Address - City:VICKSBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39180-7784
Mailing Address - Country:US
Mailing Address - Phone:601-529-0539
Mailing Address - Fax:877-384-2919
Practice Address - Street 1:3516 MANOR DR STE A
Practice Address - Street 2:
Practice Address - City:VICKSBURG
Practice Address - State:MS
Practice Address - Zip Code:39180-5693
Practice Address - Country:US
Practice Address - Phone:601-301-2027
Practice Address - Fax:877-384-2919
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-16
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSS2903235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist