Individual
TERRI BURKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 E MOORE AVE, SEARCY, AR 72143-4751
(501) 268-5001
Mailing address
2202 AUDLEY BOLTON DR, SEARCY, AR 72143-3028
(501) 268-5001
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#1661
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142853721
—
AR
01
—
5W421
BCBS
AR
Enumeration date
02/14/2007
Last updated
04/06/2015
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