Individual
JASON NORDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, CCC-SLP
Contact information
Practice address
1274 S HIGHBUSH AVE, FAYETTEVILLE, AR 72701-8265
(479) 595-2820
Mailing address
1274 S HIGHBUSH AVE, FAYETTEVILLE, AR 72701-8265
(479) 595-2820
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
200192
AR
Other
Enumeration date
07/18/2016
Last updated
11/18/2024
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