Individual
KATRINA WEIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
810 JOE BROOKS DR, JONESBORO, AR 72401-4133
(870) 931-6789
(870) 931-4363
Mailing address
603 S BAY DR, BAY, AR 72411-9600
(870) 926-8721
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2186
AR
235Z00000X
Speech-Language Pathologist
Primary
SP#2186
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146250721
—
AR
Enumeration date
05/04/2006
Last updated
04/24/2024
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