Individual
CAYLIN M THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1812 MAPLE RDG, BENTON, AR 72019-7051
(870) 904-9163
Mailing address
1812 MAPLE RDG, BENTON, AR 72019-7051
(870) 904-9163
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
201591
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255975721
—
AR
Enumeration date
11/10/2020
Last updated
03/01/2023
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