Individual
MS. ALICIA DIANE HENARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1409 HIGHWAY 201 N STE 1, MOUNTAIN HOME, AR 72653-2425
(870) 508-5010
Mailing address
1409 HIGHWAY 201 N STE 1, MOUNTAIN HOME, AR 72653-2425
(870) 508-5010
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#1090
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129315721
—
AR
Enumeration date
01/17/2007
Last updated
11/09/2012
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