Individual
MRS. CARRIE BAKER SALLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S,, CCC-SLP
Contact information
Practice address
2713 S 74TH ST STE 302, FORT SMITH, AR 72903-5155
(479) 478-8555
Mailing address
16419 PINE GROVE LN, FORT SMITH, AR 72916-9245
(479) 996-3192
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
337
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5S602
BLUE CROSS BLUE SHIELD
AR
Enumeration date
10/06/2006
Last updated
07/08/2007
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