Individual
DEBRA HORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.E., CCC-SLP
Contact information
Practice address
905 W 10TH ST, DE WITT, AR 72042-2903
(870) 674-1402
Mailing address
905 W 10TH ST, DE WITT, AR 72042-2903
(870) 674-1402
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP638
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120048721
—
AR
Enumeration date
10/04/2010
Last updated
10/04/2010
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