Individual
ANNA KATHARINE VILLALOBOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1915 W MAIN ST, RUSSELLVILLE, AR 72801-2725
(479) 968-1198
(479) 967-1178
Mailing address
500 E 3RD ST, RUSSELLVILLE, AR 72801-5204
(479) 968-1198
(479) 967-1178
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193670721
—
AR
Enumeration date
06/01/2012
Last updated
01/08/2015
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