Individual
MICHELE LEIGH CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPEECH THERAPIST
Contact information
Practice address
804 W JOHNSON AVE, SPRINGDALE, AR 72764-4159
(479) 750-8800
Mailing address
1188 CAMERINO AVE, TONTITOWN, AR 72762-3211
(501) 944-9480
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP968
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131021721
—
AR
01
—
5S860
BLUE CROSS BLUE SHIELD
AR
Enumeration date
12/22/2006
Last updated
02/18/2026
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