| NPI | 1043468960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY J EARLS Slp 501-733-8314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR 787) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: AR 787) |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2011-10-06 |