Individual
MRS. TRACEY S SHIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1919 W 12TH ST, LITTLE ROCK, AR 72202-4551
(501) 416-4829
Mailing address
333 EXECUTIVE CT, LITTLE ROCK, AR 72205-4550
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#2767
AR
Other
Enumeration date
10/16/2006
Last updated
05/15/2015
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