Individual
HEIDI WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17706 I-30, STE. 3, BENTON, AR 72019-2907
(501) 315-4414
(501) 315-0075
Mailing address
17706 I-30, STE. 3, BENTON, AR 72019-2907
(501) 315-4414
(501) 315-0075
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3517
AR
Other
Enumeration date
08/16/2013
Last updated
12/20/2023
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