Individual
TAYLOR MYNATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1000 WHITE DRIVE, BATESVILLE, AR 72501
(870) 793-2877
Mailing address
990 HILL ROAD, BATESVILLE, AR 72501
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#4013
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213994721
—
AR
Enumeration date
08/28/2016
Last updated
08/28/2016
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