Individual
KRISTINA MARIE EUBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CF-SLP
Contact information
Practice address
9209 DOLLARWAY RD, WHITE HALL, AR 71602-2616
(870) 247-0800
Mailing address
4201 LONESOME OAK LOOP, HENSLEY, AR 72065-9529
(501) 722-7110
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
200525
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200525
AR PROVISIONAL LICENSE
AR
Enumeration date
05/28/2019
Last updated
05/28/2019
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