Individual
MRS. STACY ANN KINDERVATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1200 RESERVOIR RD, LITTLE ROCK, AR 72227-5712
(501) 447-5529
Mailing address
810 W MARKHAM ST, LITTLE ROCK, AR 72201-1306
(501) 447-1000
(501) 447-4801
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1123
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116837743
—
AR
Enumeration date
06/18/2008
Last updated
02/21/2024
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