Individual
JANET L NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.P., CCC-SLP
Contact information
Practice address
408 N CHERRY ST, EUDORA, AR 71640-2209
(870) 355-8609
Mailing address
408 N CHERRY ST, EUDORA, AR 71640-2209
(870) 355-8609
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
418
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123938721
—
AR
Enumeration date
05/17/2007
Last updated
07/09/2007
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