Individual
JAMIE MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
10 FERNWOOD DR, CONWAY, AR 72034-3602
(501) 730-0194
Mailing address
10 FERNWOOD DR, CONWAY, AR 72034-3602
(501) 730-0194
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2110
AR
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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