Individual
MRS. STACY OHLDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD CCC-SLP
Contact information
Practice address
2915 DAVE WARD DR, SUITE 8, CONWAY, AR 72034-9310
(501) 329-5459
(501) 325-1378
Mailing address
1005 RAYMOND DR, CONWAY, AR 72034-8360
(501) 336-4080
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1135
AR
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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