Individual
LEONA M COLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC
Contact information
Practice address
10600 TRAIN STATION DR, MABELVALE, AR 72103-1644
(501) 909-1638
Mailing address
10600 TRAIN STATION DR, MABELVALE, AR 72103-1644
(501) 909-1638
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#P8078
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171411721
—
AR
Enumeration date
09/26/2008
Last updated
10/08/2019
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