CODIE JACLYN GREEN

NPI: 1225769482 · Individual · Active

Primary Specialty

Speech-Language Pathologist

Practice Location

668 OLD SALT RD
SUMRALL, MS 39482-4232 Map ↗
Phone: 601-270-6968
Fax: 601-336-5255

All Specialties & Licenses

  • Speech-Language Pathologist Primary (license: S-4294, MS)

Other Practice Locations

4805 W 4th St
Hattiesburg, MS 39402-1019 Map ↗
Phone: 601-270-6968

HIE Endpoints

  • OTHERS: https://app.fusionwebclinic.com/portal/aultmanspeechtherapy

NPI Registration

Enumerated: 2022-06-20

Last CMS Update: 2022-06-20