Individual
CHARLA BURKETT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
S.L.P.
Contact information
Practice address
74 GARDEN OAKS DR, MAUMELLE, AR 72113-6861
(501) 803-9695
Mailing address
74 GARDEN OAKS DR, MAUMELLE, AR 72113-6861
(501) 803-9695
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2117
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5X388
BLUE CROSS BLUE SHIELD
AR
Enumeration date
06/02/2006
Last updated
07/08/2007
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