Individual
MRS. CRISTI O HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
714 N DETROIT ST, DANVILLE, AR 72833
(479) 495-6326
(479) 495-3336
Mailing address
471 WIDGEON RD, RUSSELLVILLE, AR 72802-8088
(479) 495-6326
(479) 495-3336
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP531
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01064826
AMERICAN ST, LANG, ASSOC
AR
01
—
SP531
STATE LICENSE NUMBER
AR
Enumeration date
04/10/2007
Last updated
07/09/2007
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