Individual
MRS. CHENELL CHENISE LOUDERMILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
52 WOODRIDGE DR., LITTLE ROCK, AR 72204
(501) 407-9488
(501) 407-0515
Mailing address
715 CLINIC DR, WEST LAFAYETTE, IN 47907-2122
(501) 407-9488
(501) 407-0515
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2185
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156337721
—
AR
Enumeration date
03/29/2007
Last updated
08/25/2020
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