| NPI | 1851542997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER R BLANKENSHIP Speech Pathologist 870-364-1581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AR SP#2400) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2008-10-07 |