Individual
CAROL ANN PEARCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1315 WALNUT ST, TEXARKANA, TX 75501-4446
(903) 794-2705
Mailing address
1315 WALNUT ST, TEXARKANA, TX 75501-4446
(903) 794-2705
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
102234
TX
235Z00000X
Speech-Language Pathologist
704
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021289601
—
TX
05
—
122465721
—
AR
Enumeration date
09/27/2006
Last updated
10/24/2017
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