Individual
JAMIE JUANITA VANHOUTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
413 W TYLER AVE, WEST MEMPHIS, AR 72301-4149
(870) 733-1200
Mailing address
8270 NIBLIK CV APT 103, CORDOVA, TN 38016-4126
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
0000003059
TN
235Z00000X
Speech-Language Pathologist
Primary
2438
AR
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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