Individual
MRS. ALEXANDRIA MARIE WEATHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
205 WOLF ST, PEARCY, AR 71964-9449
(501) 767-7909
(501) 760-6550
Mailing address
205 WOLF ST, PEARCY, AR 71964-9449
(501) 767-2306
(501) 760-6550
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3837
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184100721
—
AR
Enumeration date
04/27/2016
Last updated
05/31/2024
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