Individual
MRS. REGINA PASSMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S CCC-SLP
Contact information
Practice address
210 HIGH SCHOOL RD, MOUNTAIN VIEW, AR 72560-6180
(870) 269-3443
Mailing address
210 HIGH SCHOOL RD, MOUNTAIN VIEW, AR 72560-6180
(870) 269-3443
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2365
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116974743
—
AR
Enumeration date
09/12/2008
Last updated
09/04/2009
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