Individual
GLENDA HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1200 OLD WARREN ROAD, MONTICELLO, AR 71655
(870) 367-6694
Mailing address
PO BOX 581, MONTICELLO, AR 71657-0581
(870) 866-2940
(866) 502-2858
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1215
AR
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133352721
—
AR
Enumeration date
04/09/2007
Last updated
10/18/2023
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