Individual
MRS. MARY LYNNE WEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD CCC SLP
Contact information
Practice address
1201 W CENTER ST, BEEBE, AR 72012-3103
(501) 882-5463
Mailing address
642 HIGHWAY 258, BALD KNOB, AR 72010-9720
(501) 203-5200
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1014
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189562795
—
AR
Enumeration date
01/13/2012
Last updated
01/13/2012
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