Individual
MRS. JENNIFER WISEMAN HUMPHRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
301 COLLEGE ST, CALICO ROCK, AR 72519-0220
(870) 297-8533
Mailing address
301 COLLEGE ST, CALICO ROCK, AR 72519-0220
(870) 297-8533
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1245
AR
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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