Individual
FAITH A GASTINEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
2808 FOX MEADOW LANE, JONESBORO, AR 72404-9346
(870) 335-2240
(870) 931-4457
Mailing address
2808 FOX MEADOW LANE, JONESBORO, AR 72404-9346
(870) 335-2240
(870) 931-4457
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP201823
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266948721
—
AR
01
—
5GV90
BLUE CROSS BLUE SHIELD
AR
Enumeration date
05/25/2021
Last updated
02/12/2024
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