Individual
MRS. COURTNEY WYNN REGESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CF-SLP
Contact information
Practice address
8337 COUNTS MASSIE RD, 102, NORTH LITTLE ROCK, AR 72113-5376
(501) 617-3086
Mailing address
8337 COUNTS MASSIE RD, 102, NORTH LITTLE ROCK, AR 72113-5376
(501) 617-3086
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
P8730
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199653721
—
AR
Enumeration date
09/30/2013
Last updated
06/17/2014
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