Individual
MRS. KIMBERLY ANNE PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSP, CCC-SLP
Contact information
Practice address
2200 POPLAR ST, NLR, AR 72115
(501) 771-8093
(501) 771-8090
Mailing address
4 NORFORK CV, MAUMELLE, AR 72113-6538
(501) 626-3181
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 627
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133154-721
—
AR
Enumeration date
02/25/2010
Last updated
02/25/2010
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