Individual
MRS. SUSAN L ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A./CCC-SLP
Contact information
Practice address
3011 E 1ST ST, MOUNTAIN HOME, AR 72653-3700
(870) 424-3266
Mailing address
3011 E 1ST ST, MOUNTAIN HOME, AR 72653-3700
(870) 424-3266
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
00197376
MD
235Z00000X
Speech-Language Pathologist
Primary
SP#955
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126434721
—
AR
Enumeration date
11/18/2008
Last updated
11/18/2008
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