Individual
MR. CLINTON LOWELL RICKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.-CCC-SLP
Contact information
Practice address
407 CARSON ST, HOT SPRINGS, AR 71901-6852
(501) 620-5525
(501) 321-9828
Mailing address
104 FOX CHASE CIRCLE, HOT SPRINGS, AR 71913
(501) 620-5525
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#2022
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137431721
—
AR
Enumeration date
01/10/2007
Last updated
04/03/2018
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