Individual
MISS BROOKE VIRELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
3214 WINCHESTER DR, BENTON, AR 72015-2929
(501) 794-6482
Mailing address
13500 CHENAL PKWY APT 2711, LITTLE ROCK, AR 72211-5202
(731) 501-6531
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
232636721
—
AR
Enumeration date
04/03/2019
Last updated
04/23/2024
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