Individual
LINDA KATHERINE WOOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
121 COX ST, BENTON, AR 72015-4611
(501) 776-0691
(501) 776-0692
Mailing address
121 COX ST, P.O. BOX 368, BENTON, AR 72015-4611
(501) 776-0691
(501) 776-0692
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
P8034
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164928721
—
AR
Enumeration date
08/14/2007
Last updated
02/17/2011
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