Individual
CARRIE ANN ADELE WILLYARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
2 AKERMAN LN, BELLA VISTA, AR 72714-5228
(479) 270-3720
(479) 696-7779
Mailing address
2 ABBAS CIR, BELLA VISTA, AR 72714-4200
(479) 426-9182
(479) 696-8667
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#P8012
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161716721
—
AR
Enumeration date
05/04/2007
Last updated
03/15/2018
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