Organization
BRISENDINE SPEECH-LANGUAGE PATHOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRAEANNE BRISENDINE M.S. CCC-SLP (PRESIDENT)
(479) 478-5570
Entity
Organization
Contact information
Practice address
1801 S 74TH ST, FORT SMITH, AR 72903-2814
(479) 478-5570
(479) 478-5567
Mailing address
9805 FENWICK CT, FORT SMITH, AR 72908-8687
(479) 649-7465
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1457
AR
Other
Enumeration date
12/12/2006
Last updated
08/22/2020
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