Individual
MS. REBECCA BOULLIOUN-DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.E.,CCC-SLP
Contact information
Practice address
14405 OLD RIVER DR, SCOTT, AR 72142-9118
(501) 961-9403
Mailing address
14405 OLD RIVER DR, SCOTT, AR 72142-9118
(501) 961-9403
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
48
AR
Other
Enumeration date
06/19/2007
Last updated
11/12/2009
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