Organization
PEDIATRIC SPEECH PATHOLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE SHARP (OWNER)
(479) 414-8349
Entity
Organization
Contact information
Practice address
9300 EAST COUNTY LINE ROAD, CHARLESTON, AR 72933
(479) 414-8349
(479) 965-0156
Mailing address
PO BOX 148, CHARLESTON, AR 72933-0148
(479) 414-8349
(479) 965-0156
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1113
AR
Other
Enumeration date
03/03/2011
Last updated
03/03/2011
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