Individual
ANDREA L TOLIVER-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
504 E 4TH ST N, PRESCOTT, AR 71857-2254
(870) 887-0624
(870) 887-3185
Mailing address
PO BOX 537, PRESCOTT, AR 71857-0537
(870) 887-0624
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
06105
MD
235Z00000X
Speech-Language Pathologist
Primary
SP#2782
AR
Other
Enumeration date
08/01/2011
Last updated
08/01/2011
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