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Organization

HENRY HEARING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARY MARTHA HENRY AU.D. (OWNER)
(501) 837-3337
Entity
Organization

Contact information

Practice address
1412 MELLON ST, LITTLE ROCK, AR 72207-6150
(501) 837-3337
Mailing address
1412 MELLON ST, LITTLE ROCK, AR 72207-6150
(501) 837-3337

Taxonomy

Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
A214
AR

Other

Enumeration date
10/29/2012
Last updated
10/29/2012
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