Individual
MRS. MARY W. FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
16770 HERITAGE BAY RD, #G7, ROGERS, AR 72756-8243
(479) 925-2826
Mailing address
16770 HERITAGE BAY RD, #G7, ROGERS, AR 72756-8243
(479) 925-2826
(479) 925-2826
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
907
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5W983
INSURANCE
AR
Enumeration date
05/03/2006
Last updated
07/08/2007
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