Individual
HOLLY KATHERINE JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
5111 ROGERS AVE, FORT SMITH, AR 72903-2047
(479) 595-0333
Mailing address
5111 ROGERS AVE, FORT SMITH, AR 72903-2047
(479) 595-0333
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A2206017
AR
2355S0801X
Speech-Language Assistant
R#14-008
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R#14-008
ARKANSAS BOARD OF SPEECH PATHOLOGISTS AND AUDIOLOGISTS REGISTRATION
AR
Enumeration date
05/07/2014
Last updated
07/20/2022
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