Individual
MRS. MELISSA D SHRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
14807 BLUE JAY LN, FAYETTEVILLE, AR 72704-8400
(479) 444-7882
(479) 444-7782
Mailing address
550 JENKINS RD, PRAIRIE GROVE, AR 72753-2650
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#1548
AR
Other
Enumeration date
07/06/2007
Last updated
07/09/2007
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