Organization
THE COMMUNICATION STATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NITA STILLWELL M.S, CCC-SLP (OWNER)
(870) 897-7072
Entity
Organization
Contact information
Practice address
915 S MAIN ST, SUITE 4, JONESBORO, AR 72401-3508
(870) 897-7072
(870) 932-1899
Mailing address
915 S MAIN ST, SUITE 4, JONESBORO, AR 72401-3508
(870) 897-7072
(870) 932-1899
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#1417
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207202742
—
AR
Enumeration date
07/10/2015
Last updated
07/10/2015
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