Individual
MRS. GEORGIA GAIL SYKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A./CCC-SLP
Contact information
Practice address
105 CYPRESS CIR, MOUNTAIN HOME, AR 72653-8778
(870) 492-2009
Mailing address
105 CYPRESS CIR, MOUNTAIN HOME, AR 72653-8778
(870) 492-2009
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#502
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116546721
—
AR
Enumeration date
03/06/2009
Last updated
03/06/2009
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