Individual
VERA JEAN MCNAMARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSP, CCC SLP
Contact information
Practice address
2808 FOX MEADOW LN, JONESBORO, AR 72404-9346
(870) 932-4245
(870) 931-4457
Mailing address
1309 SANTA FE CIR, JONESBORO, AR 72401-4671
(870) 897-9082
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#249
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5S166
AR BCBS PROVIDER #
AR
Enumeration date
03/02/2007
Last updated
07/09/2007
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