Individual
MATTIE ELIZABETH WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
916 GOBLIN DR, HARRISON, AR 72601-8885
(870) 654-3869
(870) 505-2016
Mailing address
916 GOBLIN DR, HARRISON, AR 72601-8885
(870) 654-3869
(870) 505-2016
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
203542
AR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
AR
Other
Enumeration date
09/05/2025
Last updated
05/07/2026
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