| NPI | 1154624419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY KENGLA Speech Language Pathologist 479-965-1424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR SP#2262) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR SP#1724) |
| 235Z00000X Speech-Language Pathologist, (Licence: AR SP#1675) | |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2010-12-08 |