Individual
MR. MATTHEW JOHN LEBEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 S GILES AVE, GENTRY, AR 72734-9320
(479) 736-2253
Mailing address
1505 N HICO ST, SILOAM SPRINGS, AR 72761-1955
(479) 238-1249
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/18/2009
Last updated
08/18/2009
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