Organization
LET'S TALK THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACY BETH SAMPLE MCD CCC-SLP (OWNER)
(870) 578-6118
Entity
Organization
Contact information
Practice address
19251 GREENFIELD RD, HARRISBURG, AR 72432-9398
(870) 578-6118
(870) 578-6118
Mailing address
19251 GREENFIELD RD, HARRISBURG, AR 72432-9398
(870) 578-6118
(870) 578-6118
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#1873
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180004742
—
AR
Enumeration date
01/27/2010
Last updated
01/27/2010
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