Individual
MS. LOWELL COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9995 E HIGHWAY 72, BENTONVILLE, AR 72712-9596
(479) 273-2394
Mailing address
9995 E HIGHWAY 72, BENTONVILLE, AR 72712-9596
(479) 273-2394
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP160
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126575721
—
AR
Enumeration date
05/04/2007
Last updated
09/14/2009
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