Individual
MRS. PORTIA S CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
7327 WORTH AVE E, BENTON, AR 72019-6895
(501) 773-7155
Mailing address
7327 WORTH AVE E, BENTON, AR 72019-6895
(501) 773-7155
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#2606
AR
Other
Enumeration date
12/19/2007
Last updated
01/04/2016
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