Individual
AMY CHANNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
150 SUMMIT VALLEY CIR, MAUMELLE, AR 72113-5932
(501) 804-9567
Mailing address
150 SUMMIT VALLEY CIR, MAUMELLE, AR 72113-5932
(501) 804-9567
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#2514
AR
Other
Enumeration date
12/22/2007
Last updated
12/22/2007
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