Individual
MRS. SYDNEY BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1117 TAPP RD, VAN BUREN, AR 72956-6844
(321) 501-0282
Mailing address
1117 TAPP RD, VAN BUREN, AR 72956-6844
(321) 501-0282
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SA4119
FL
235Z00000X
Speech-Language Pathologist
Primary
SP#487
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116145721
—
AR
05
—
891401000
—
FL
Enumeration date
04/26/2006
Last updated
12/13/2018
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