Individual
JOHN HALLORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., CCC - SLP
Contact information
Practice address
109 MAJESTIC CIR, MAUMELLE, AR 72113-6278
(501) 951-1588
Mailing address
109 MAJESTIC CIR, MAUMELLE, AR 72113-6278
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP764
AR
Other
Enumeration date
02/17/2013
Last updated
02/17/2013
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