Individual
MS. KERRI SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
500 TIGER BLVD, BENTONVILLE, AR 72712-4208
(479) 254-5000
(479) 271-1123
Mailing address
500 TIGER BLVD, BENTONVILLE, AR 72712-4208
(479) 254-5000
(479) 271-1123
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#2154
AR
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609053909
—
AR
Enumeration date
01/29/2008
Last updated
04/29/2025
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