Individual
ERICA DAWN REDDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
702 N MAIN ST STE B, HARRISON, AR 72601-2920
(870) 204-5330
Mailing address
702 N MAIN ST STE B, HARRISON, AR 72601-2920
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA15688
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205370681
THERAPY CLINIC
AR
Enumeration date
03/12/2018
Last updated
03/12/2018
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