Organization
BLANKENSHIP SPEECH PATHOLOGY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER R BLANKENSHIP MCD, CCC-SLP (SPEECH PATHOLOGIST)
(870) 364-1581
Entity
Organization
Contact information
Practice address
207 1/2 MAIN ST, CROSSETT, AR 71635-2925
(870) 364-1581
(870) 364-1582
Mailing address
3179 HIGHWAY 169 S, CROSSETT, AR 71635-9155
(870) 364-1581
(870) 364-1582
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#2400
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162044721
—
AR
Enumeration date
10/07/2008
Last updated
10/07/2008
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