Individual
MRS. BRENDA J ALRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
100 ROBERT FISER DRIVE, MORRILTON, AR 72110
(501) 354-1170
Mailing address
25 BALL HILL RD, GREENBRIER, AR 72058-9619
(501) 354-1170
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1718
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148176721
—
AR
01
—
SP1718
ARKANSAS LICENSURE NUMBER
AR
Enumeration date
07/10/2008
Last updated
07/10/2008
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