Individual
MRS. HEATHER DAWN TIBBETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
210 MANOR ST, MARION, AR 72364-1936
(870) 739-1600
Mailing address
210 MANOR ST, MARION, AR 72364-1936
(870) 739-1600
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP3069
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190655721
—
AR
Enumeration date
09/28/2007
Last updated
04/13/2012
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