Provider Demographics
NPI:1952534976
Name:OLIVER, JEANNE HANNAH (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JEANNE
Middle Name:HANNAH
Last Name:OLIVER
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:614 ROYAL OAK DR
Mailing Address - Street 2:
Mailing Address - City:PASS CHRISTIAN
Mailing Address - State:MS
Mailing Address - Zip Code:39571-2228
Mailing Address - Country:US
Mailing Address - Phone:228-332-5884
Mailing Address - Fax:228-863-9868
Practice Address - Street 1:614 ROYAL OAK DR
Practice Address - Street 2:
Practice Address - City:PASS CHRISTIAN
Practice Address - State:MS
Practice Address - Zip Code:39571-2228
Practice Address - Country:US
Practice Address - Phone:228-332-5884
Practice Address - Fax:228-863-9868
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-25
Last Update Date:2009-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSS2569235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist