Individual
MR. LARRY WYNARD ASLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA CCC SLP
Contact information
Practice address
410 ARKANSAS AVENUE, UNIVERSITY SPEECH & HEARING CLINIC, FAYETTEVILLE, AR 72701-1201
(479) 575-4918
(479) 575-4507
Mailing address
790 EAST ELM STREET, FAYETTEVILLE, AR 72703
(479) 521-0485
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP182
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ST204
BCBS
AR
Enumeration date
02/21/2007
Last updated
07/08/2007
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