Individual
MRS. STACY HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1301 RUSSELL RD, RUSSELLVILLE, AR 72802-4320
(479) 967-2316
(479) 967-3639
Mailing address
PO DRAWER 2109, RUSSELLVILLE, AR 72811
(479) 967-2322
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#2246
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214361721
—
AR
Enumeration date
05/08/2012
Last updated
01/10/2023
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