Individual
ELLEN SHIRLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MACCCSLP
Contact information
Practice address
2474 E JOYCE BLVD STE 2, FAYETTEVILLE, AR 72703-4932
(479) 521-8326
Mailing address
1999 S VAN HOOSE DR, FAYETTEVILLE, AR 72701-9107
(479) 442-9259
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
676
AR
Other
Enumeration date
03/20/2007
Last updated
07/09/2007
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