Individual
KRISTAL RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
519 LATHAM DR, LOWELL, AR 72745-8360
(479) 750-0130
(479) 750-0937
Mailing address
1 CHILDRENS WAY, LITTLE ROCK, AR 72202-3500
(479) 750-0130
(479) 750-0937
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/13/2012
Last updated
07/22/2013
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