Individual
MS. TAMMY L SAHAGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2227 WEST MAIN ST, JACKSONVILLE, AR 72076
(501) 985-9944
(501) 985-6590
Mailing address
2227 WEST MAIN ST, JACKSONVILLE, AR 72076
(501) 771-0453
Taxonomy
Speciality
Code
Description
License number
State
235500000X
Speech/Language/Hearing Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5C652
MEDICARE ID
AR
01
—
5C724
IDTF
AR
Enumeration date
04/24/2007
Last updated
07/25/2007
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