Individual
JESSICA CARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3801 MAIN DR STE B, FAYETTEVILLE, AR 72704-6364
(479) 856-6400
(479) 856-6623
Mailing address
3801 MAIN DR STE B, FAYETTEVILLE, AR 72704-6364
(479) 856-6400
(479) 856-6623
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
P8574
AR
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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