Individual
MS. LISA PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6419 SHETLAND WAY, TEXARKANA, AR 71854-8827
(870) 779-0634
Mailing address
6419 SHETLAND WAY, TEXARKANA, AR 71854-8827
(870) 779-0634
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-1005
AR
Other
Enumeration date
02/06/2007
Last updated
07/09/2007
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