Organization
BRIDGING THE GAP SPEECH THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLE DENISE WALKER M.S., CCC-SLP (SOLE OWNER)
(501) 350-2770
Entity
Organization
Contact information
Practice address
4101 S CHATFIELD RD, BAUXITE, AR 72011-9012
(501) 350-2770
Mailing address
4101 S CHATFIELD RD, BAUXITE, AR 72011-9012
(501) 350-2770
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
SP#2130
AR
Other
Enumeration date
11/06/2009
Last updated
11/06/2009
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