Individual
MRS. DEBORAH A RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,CCC-SLP
Contact information
Practice address
5312 W 10TH ST, LITTLE ROCK, AR 72204-1852
(501) 280-9195
(501) 663-7261
Mailing address
8 CYPRESS CV, LITTLE ROCK, AR 72223-4466
(501) 868-8736
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP145
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP145
ARKANSAS BOARD OF EXAMINERS SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY
AR
Enumeration date
09/29/2008
Last updated
09/29/2008
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