Individual
STEPHANIE R. L. HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
202 N WALTON BLVD STE 34, BENTONVILLE, AR 72712-5175
(479) 431-6141
(479) 282-0414
Mailing address
202 N WALTON BLVD STE 34, BENTONVILLE, AR 72712-5175
(479) 431-6141
(479) 282-0414
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#1904
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145600721
—
AR
01
—
SP 1904
ARKANSAS SPEECH LICENSE
AR
Enumeration date
01/09/2007
Last updated
07/18/2022
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