Individual
GAIL GRUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPEECH THERAPIST
Contact information
Practice address
800 W MOORE ST, HEBER SPRINGS, AR 72543-2402
(501) 362-6712
(501) 362-0613
Mailing address
830 AZALEA LN, HEBER SPRINGS, AR 72543-4004
(501) 362-6712
(501) 362-0613
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#164
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125657721
—
AR
Enumeration date
09/09/2008
Last updated
09/09/2008
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