Individual
KAITLYN BUNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CF-SLP
Contact information
Practice address
106 REINE ST N, MENA, AR 71953-2254
(479) 394-2943
Mailing address
1309 COLE ST, MENA, AR 71953-3722
(479) 287-6927
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
200754
AR
Other
Enumeration date
11/08/2019
Last updated
11/08/2019
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