Individual
CHELCIE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CF-SLP
Contact information
Practice address
407 KATIE LN, CONWAY, AR 72034-7942
(501) 364-4545
Mailing address
407 KATIE LN, CONWAY, AR 72034-7942
(501) 364-4545
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
P8805
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23
—
AR
Enumeration date
09/04/2014
Last updated
09/04/2014
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