Individual
MRS. HEATHER W CARR
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
14807 BLUE JAY LN, FAYETTEVILLE, AR 72704-8400
(479) 444-7882
(479) 444-7782
Mailing address
14807 BLUE JAY LN, FAYETTEVILLE, AR 72704-8400
(479) 444-7882
(479) 444-7782
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#1236
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5W860
BLUE CROSS/BLUE SHIELD
AR
Enumeration date
01/17/2006
Last updated
07/08/2007
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