Individual
MRS. AMY JO LANCASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2615 W MAIN ST, JACKSONVILLE, AR 72076-4215
(501) 982-4578
(501) 982-1253
Mailing address
7114 WILDBERRY CV, SHERWOOD, AR 72120-8006
(501) 834-9491
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1693
AR
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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