Organization
JASON FULLER
Active
Other names
Clearly Speaking
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON FULLER M.S.CCC-SLP (OWNER/SPEECH PATHOLOGIST)
(501) 230-3916
Entity
Organization
Contact information
Practice address
1208 W PLEASURE AVE, SEARCY, AR 72143-5151
(501) 230-3916
Mailing address
1208 W PLEASURE AVE, SEARCY, AR 72143-5151
(501) 230-3916
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#1372
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149676742
—
AR
Enumeration date
07/26/2011
Last updated
07/26/2011
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