Individual
MRS. MIRANDA RACHELLE ROUNDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1601 GREENHOUSE RD, BENTONVILLE, AR 72713-9292
(479) 795-1260
(479) 795-1261
Mailing address
4000 CARRIAGEWAY AVE, BENTONVILLE, AR 72712-7532
(402) 215-2189
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SP3429
AR
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201369721
—
AR
01
—
5DF79
BCBS
AR
Enumeration date
01/09/2013
Last updated
10/16/2018
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