Individual
MRS. JENNIFER L OVERTON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS CCCSLP
Contact information
Practice address
6917 GEYER SPRINGS RD, SUITE 1-S, LITTLE ROCK, AR 72209
(501) 570-4004
(501) 570-4003
Mailing address
6523 CANTRELL ROAD, LITTLE ROCK, AR 72207
(501) 960-4142
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1949
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5X813
BLUE CROSS
AR
Enumeration date
04/17/2006
Last updated
07/08/2007
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