Individual
TIMOTHY C CHANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., CCC-SLP
Contact information
Practice address
3214 WINCHESTER RD, BENTON, AR 72015
(501) 326-6160
(501) 326-6161
Mailing address
112 W EDEN PARK RD, SEARCY, AR 72143-8937
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1941
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146227721
—
AR
Enumeration date
01/19/2007
Last updated
07/08/2007
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