Individual
MR. KYLE MARK GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, CCC - SLP
Contact information
Practice address
8511 RUSSWOOD LN W, MABELVALE, AR 72103-4286
(501) 888-3387
Mailing address
8511 RUSSWOOD LN W, MABELVALE, AR 72103-4286
(501) 888-3387
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#503
AR
Other
Enumeration date
06/04/2007
Last updated
07/08/2007
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