Individual
CHARLOTTE RYBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSP, CCC-SLP, L-SP
Contact information
Practice address
305 S HORNBERG AVE, GILLHAM, AR 71841
(870) 386-2251
(870) 386-7731
Mailing address
P O BOX 110, GILLHAM, AR 71841
(870) 386-2251
(870) 386-7731
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-181
AR
Other
Enumeration date
08/07/2008
Last updated
01/20/2009
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