Individual
MS. AMY BROWN MCMAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MACCCSLP
Contact information
Practice address
1389 LAFITE LN, FAYETTEVILLE, AR 72703-9808
(870) 941-5152
Mailing address
7809 ZUBER RD, BENTON, AR 72015-1689
(870) 941-5152
(501) 794-1729
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2308
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2308
STATE LICENSE #
AR
Enumeration date
03/13/2007
Last updated
07/08/2007
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