Individual
CARLA YVETTE MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
602 N LINCOLN ST, CABOT, AR 72023-2601
(501) 843-3363
Mailing address
602 N LINCOLN ST, CABOT, AR 72023-2601
(501) 843-3363
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
427
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116049721
—
AR
Enumeration date
10/27/2006
Last updated
11/04/2011
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