Individual
CAITLIN KETCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., SLP-CFY
Contact information
Practice address
2 COUNTRY CLUB CIR, MAUMELLE, AR 72113-6578
(501) 800-1080
Mailing address
2 COUNTRY CLUB CIR, MAUMELLE, AR 72113-6578
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
201235
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201235
ABESPA
AR
Enumeration date
10/13/2020
Last updated
10/13/2020
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