Individual
TABITHA LEE GLEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CF-SLP
Contact information
Practice address
400 N VANCOUVER AVE, RUSSELLVILLE, AR 72801-2750
(479) 968-4141
Mailing address
2820 COLLEGE AVE APT 316, CONWAY, AR 72034-6140
(479) 966-5153
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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