Individual
MRS. VANESSA YVONNE BOOMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
420 N WEST END ST, SPRINGDALE, AR 72764-3002
(479) 750-8859
Mailing address
727 ALMOO ST, LOWELL, AR 72745-9545
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP2260
AR
Other
Enumeration date
03/30/2008
Last updated
03/30/2008
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