Individual
MRS. MARY ELISE TUSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
2811 W HUNTSVILLE AVE, SPRINGDALE, AR 72762-7736
(479) 750-8854
Mailing address
290 N FLANAGIN LN, FAYETTEVILLE, AR 72704-5058
(479) 719-7399
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
200061
AR
235Z00000X
Speech-Language Pathologist
200216
AR
Other
Enumeration date
05/21/2018
Last updated
08/29/2019
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