| Heather Ezell, | |
| 
					53 Redfern Trl, Petal, MS 39465-2672  | |
| (601) 520-2352 | |
| Not Available | 
| Full Name | Heather Ezell | 
|---|---|
| Gender | Female | 
| Speciality | Speech-language Pathologist | 
| Location | 53 Redfern Trl, Petal, Mississippi | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1245049154 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | S-4734 (Mississippi) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Heather Ezell, 53 Redfern Trl, Petal, MS 39465-2672 Ph: (601) 520-2352  | Heather Ezell, 53 Redfern Trl, Petal, MS 39465-2672 Ph: (601) 520-2352  | 
Mrs. Sherry Lazenby Mulling, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 54 Lazenby Rd, Petal, MS 39465 Phone: 601-545-2103  | |
Emily Cade,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 30 Melissa Loop, Petal, MS 39465 Phone: 601-408-6456  | |
Lesley Thomas Ellison,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 314 Bryant St, Petal, MS 39465 Phone: 601-544-0391  | |
Jenna Smith,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 30 Melissa Loop, Petal, MS 39465 Phone: 601-270-3062  |