Organization
THERAPY NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ROBERTSON MCD, CCC-SLP (SPEECH PATHOLOGIST)
(870) 588-7372
Entity
Organization
Contact information
Practice address
320 SYCAMORE ST, AUGUSTA, AR 72006-2650
(870) 347-2432
Mailing address
16893 HYDRICK RD, CHERRY VALLEY, AR 72324-8703
(870) 588-7372
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1871
AR
Other
Enumeration date
04/02/2007
Last updated
08/22/2020
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