Individual
MRS. FAWN GEELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
295 SOUTHWICK CV, CONWAY, AR 72034-5514
(501) 472-0599
Mailing address
295 SOUTHWICK CV, CONWAY, AR 72034-5514
(501) 472-0599
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#2286
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159249721
—
AR
Enumeration date
05/08/2007
Last updated
12/10/2012
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