Individual
MRS. BRITTANY BELLE SHARUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
4805 W TRAIL DUST ST, FAYETTEVILLE, AR 72704-7671
(254) 718-3807
Mailing address
4805 W TRAIL DUST ST, FAYETTEVILLE, AR 72704-7671
(254) 718-3807
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5330
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14057343
ASHA
—
01
—
5530
NM SLP LICENSE
NM
Enumeration date
11/09/2015
Last updated
11/09/2015
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