Individual
LESLIE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
711 CLINTON ST, ARKADELPHIA, AR 71923-5921
(870) 246-7928
Mailing address
711 CLINTON ST, ARKADELPHIA, AR 71923-5921
(870) 246-7928
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1855
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01091487
ARKANSAS SPEECH/LANGUAGE/HEARING ASSOCIATION
AR
01
—
1855
SPEECH-LANGUAGE PATHOLOGY LICENSE
AR
Enumeration date
02/12/2010
Last updated
02/12/2010
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