Individual
MITCHELL DAVID BARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
1202 NE MCCLAIN RD, BENTONVILLE, AR 72712-3875
(616) 255-6609
Mailing address
2703 W GUM ST, ROGERS, AR 72758-4849
(616) 255-6609
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#P8918
AR
Other
Enumeration date
02/14/2016
Last updated
05/11/2016
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