Individual
MS. BRENDA CAROLE VONOHLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5532 JFK BLVD, NORTH LITTLE ROCK, AR 72116-6708
(501) 588-3211
Mailing address
3618 ORANGE ST, NORTH LITTLE ROCK, AR 72118-4978
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1127
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142559721
—
AR
01
—
5W374
BLUE CROSS BLUE SHEILD
AR
Enumeration date
01/29/2007
Last updated
03/04/2022
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