Individual
TOSHIA R WHITESIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3311 MOUNTAIN VISTA RD, HARRISON, AR 72601-9600
(870) 577-0584
Mailing address
3311 MOUNTAIN VISTA RD, HARRISON, AR 72601-9600
(870) 577-0584
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
202450
AR
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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