Individual
MRS. SUSAN DIANE JUMPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.CCC-SLP
Contact information
Practice address
1 MEDICAL PARK DR., BENTON, AR 72019
(501) 776-0611
Mailing address
871 NORTHGATE DR., BENTON, AR 72019
(501) 794-0972
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1029
AR
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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