Individual
MS. CARRIE SUE SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AT
Contact information
Practice address
1300 HIGHWAY 9, MORRILTON, AR 72110-9403
(501) 208-5911
(501) 208-5912
Mailing address
101 BULLDOG DR, PLUMERVILLE, AR 72127-8803
(501) 354-2269
(501) 354-0167
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206055721
—
AR
Enumeration date
07/14/2008
Last updated
09/19/2019
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