Individual
MR. RICHARD KENNETH BOARDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. CCC-SLP
Contact information
Practice address
129 E POPLAR ST, CLARKSVILLE, AR 72830-4212
(479) 462-3528
(479) 754-0384
Mailing address
PO BOX 1339, CLARKSVILLE, AR 72830-1339
(479) 648-1888
(479) 648-1999
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#1764
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145522721
—
AR
Enumeration date
12/11/2007
Last updated
06/13/2016
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