Individual
MRS. ANITA B HUMPHREYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSP,CCC, SLP
Contact information
Practice address
410 GOLDSMITH AVE, MAMMOTH SPRING, AR 72554-8045
(870) 625-3096
Mailing address
410 GOLDSMITH AVE, MAMMOTH SPRING, AR 72554-8045
(870) 625-3096
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/16/2008
Last updated
10/16/2008
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