Individual
MRS. KASSIDY CRAMBLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.CCC-SLP
Contact information
Practice address
319 N PINE ST, LITTLE ROCK, AR 72205-4215
(501) 447-5919
Mailing address
22 HUNTINGTON RD, LITTLE ROCK, AR 72227-2323
(501) 454-6823
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3962
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
221770721
—
AR
Enumeration date
01/08/2018
Last updated
03/11/2020
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