Individual
MICHELLE L. OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
14 W CHERRY ST, ALMA, AR 72921-3905
(479) 632-0258
Mailing address
1500 HOUSTON ST, FORT SMITH, AR 72901-7214
(479) 414-9450
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#2512
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164153721
—
AR
Enumeration date
05/24/2007
Last updated
09/21/2009
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