Individual
MR. FREDERICK PORTER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. CCC-SLP
Contact information
Practice address
2400 W MARKHAM ST, LITTLE ROCK, AR 72205-6129
(501) 324-9543
Mailing address
2400 W MARKHAM ST, LITTLE ROCK, AR 72205-6129
(501) 324-9543
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1529
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1529
ABESPA
AR
Enumeration date
11/13/2008
Last updated
11/13/2008
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