Individual
ELLEN LAWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4902 S 46TH PL, ROGERS, AR 72758-8921
(479) 531-3650
Mailing address
4902 S 46TH PL, ROGERS, AR 72758-8921
(479) 531-3650
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1866
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5X312
BLUE CROSS/BLUE SHIELD
AR
Enumeration date
05/16/2006
Last updated
02/27/2008
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