Individual
CAMERON RAY CARLISLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
11517 KANIS RD, LITTLE ROCK, AR 72211-3724
(501) 993-7171
(501) 223-8075
Mailing address
8 CHERRY CREEK CV, LITTLE ROCK, AR 72212-2005
(501) 227-7372
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1846
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148300721
—
AR
Enumeration date
11/12/2008
Last updated
11/12/2008
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