Organization
KIDSPOT WALNUT RIDGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY HOUSE (BILLING COORDINATOR)
(870) 974-9114
Entity
Organization
Contact information
Practice address
321 SW 3RD ST, WALNUT RIDGE, AR 72476-2308
(870) 637-5903
(870) 637-5908
Mailing address
1801 GRANT AVE, JONESBORO, AR 72401-6155
(870) 974-9114
(870) 974-9184
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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