Individual
TABITHA MAYBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
827 SLACK ST, PEA RIDGE, AR 72751-3703
(479) 451-9434
(479) 488-6220
Mailing address
PO BOX 585, PEA RIDGE, AR 72751-0585
(479) 451-9434
(479) 488-6220
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/01/2010
Last updated
04/01/2010
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