Individual
CATHRYN JOY VILLINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2403 MARYLANE DR, ROGERS, AR 72756-6702
(479) 250-4355
(479) 553-7954
Mailing address
2403 MARYLANE DR, ROGERS, AR 72756-6702
(479) 790-7979
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
200090
AR
235Z00000X
Speech-Language Pathologist
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326524174
—
AR
Enumeration date
07/16/2018
Last updated
08/29/2019
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