Individual
CARLA SUE SUMNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
610 S AVALON ST, WEST MEMPHIS, AR 72301-4109
(870) 400-3481
Mailing address
110 MOLE MOUNTAIN CT # 20441, JASPER, GA 30143-7583
(770) 893-2470
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1055
AR
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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