Individual
HAYLYNN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 W CENTER ST, BEEBE, AR 72012-3103
(501) 882-5463
Mailing address
1201 W CENTER ST, BEEBE, AR 72012-3103
(501) 882-5463
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
6383
TN
235Z00000X
Speech-Language Pathologist
Primary
SP4193
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q034289
—
TN
Enumeration date
06/09/2016
Last updated
05/09/2024
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