Individual
MELINDA TRAYLOR
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
S.L.P.
Contact information
Practice address
710 JEFFERSON ST, JACKSONVILLE, AR 72076-9403
(501) 834-5697
Mailing address
710 JEFFERSON ST, JACKSONVILLE, AR 72076-9403
(501) 834-5697
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
716
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5Y744
BLUE CROSS BLUE SHIELD
AR
Enumeration date
06/16/2006
Last updated
07/08/2007
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