Individual
JENNA-LEE MELNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1102 W MAIN ST, HEBER SPRINGS, AR 72543-2818
(501) 365-3068
Mailing address
13 TIMOTHY LANE, CONWAY, AR 72034
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
201210
AR
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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