| Spann Senses, Llc | |
|
905 North Broadway Shelby MS 38774 | |
| (662) 545-7243 | |
| Not Available |
| Full Name | Spann Senses, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 905 North Broadway, Shelby, Mississippi |
| Authorized Official Name and Position | Vikki Y. Spann (OWNER) |
| Authorized Official Contact | 6625457243 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spann Senses, Llc Po Box 123 Shelby MS 38774-0123 Ph: (662) 545-7243 | Spann Senses, Llc 905 North Broadway Shelby MS 38774 Ph: (662) 545-7243 |
| NPI Number | 1194533968 |
|---|---|
| Provider Enumeration Date | 12/24/2024 |
| Last Update Date | 12/24/2024 |
| Medicare PECOS PAC ID | 7911435854 |
|---|---|
| Medicare Enrollment ID | O20250106003781 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194533968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Vikki Yashandra Spann |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1962227132 PECOS PAC ID: 9739617671 Enrollment ID: I20250106003825 |
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