Individual
MRS. AMANDA BONSALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
407 N. TATE, NORPHLET, AR 71759
(870) 231-4000
Mailing address
PO BOX 43, NORPHLET, AR 71759-0043
(870) 231-4000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1995
AR
Other
Enumeration date
04/13/2007
Last updated
07/09/2007
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