Individual
LEIGH THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
547 W POWERLINE PL, FAYETTEVILLE, AR 72701-3370
(479) 409-4191
(479) 271-7633
Mailing address
547 W POWERLINE PL, FAYETTEVILLE, AR 72701-3370
(479) 409-4191
(479) 271-7633
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#2353
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160970721
—
AR
01
—
5Y968
BLUECROSSBLUESHIELD PROV.
AR
Enumeration date
10/11/2006
Last updated
07/08/2007
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