Individual
ELIZABETH BRAINERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5507 W WALSH LN STE 102, ROGERS, AR 72758-8951
(479) 367-2806
(479) 367-2648
Mailing address
714 GAIL ST, SPRINGDALE, AR 72762-2902
(870) 267-2120
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
201239
AR
Other
Enumeration date
08/26/2020
Last updated
03/06/2024
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