Individual
MRS. KATHERINE LEIGH JUSTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
685 SHELBY TRAIL SUITE 1, CONWAY, AR 72034
(501) 358-6868
Mailing address
109 ZURIE CIRCLE, MAUMELLE, AR 72113
(870) 613-5176
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
235Z00000X
Speech-Language Pathologist
Primary
200138
AR
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222214721
—
AR
Enumeration date
06/18/2017
Last updated
02/14/2024
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