Individual
ALLISON BRECK BIRDSONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPEECH PATHOLOGIST
Contact information
Practice address
707 ELDRIDGE AVE E, WYNNE, AR 72396-4032
(870) 208-8989
(870) 208-8107
Mailing address
707 ELDRIDGE AVE E, WYNNE, AR 72396-4032
(870) 208-8989
(870) 208-8107
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP8113
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP8113
STATE LICENSE
AR
Enumeration date
03/12/2009
Last updated
03/12/2009
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