Individual
MRS. ASHLEY NICOLE DOVER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS, CCC/SLP
Contact information
Practice address
1760 N WOODLAND AVE, FAYETTEVILLE, AR 72703-2549
(479) 443-4420
(479) 443-0547
Mailing address
1348 N MAXWELL DR, FAYETTEVILLE, AR 72703-1518
(479) 444-0547
(479) 443-0547
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
ASHA #12018076
AR
235Z00000X
Speech-Language Pathologist
SP#1816
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5W804
BC/BS PROVIDER #
AR
Enumeration date
05/03/2006
Last updated
07/09/2007
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