Organization
APPLEFLATS SPEECH PATHOLOGY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE M. VEST MA CCC-SLP (OWNER/ CLINICIAN)
(870) 510-2841
Entity
Organization
Contact information
Practice address
2206 N JACKSON, MAGNOLIA, AR 71753-2065
(870) 510-2841
Mailing address
2206 N JACKSON, MAGNOLIA, AR 71753-2065
(870) 510-2841
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275496742
—
AR
Enumeration date
11/30/2021
Last updated
11/30/2021
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