Individual
SUSANNA TAHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
533 N BLUE JAY LN, FAYETTEVILLE, AR 72704-8426
(479) 444-7882
(479) 444-7782
Mailing address
PO BOX 906, FARMINGTON, AR 72730-0906
(479) 601-4788
(479) 444-7782
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#871
AR
Other
Enumeration date
08/23/2010
Last updated
08/23/2010
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