Individual
MRS. TAMMY LYNN SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1616 N VINE, MAGNOLIA, AR 71753-9740
(870) 234-8979
Mailing address
PO BOX 215, 270 WATSON STREET, HAMPTON, AR 71744-0215
(870) 798-3922
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#2173
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152528721
—
AR
Enumeration date
06/30/2008
Last updated
06/30/2008
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