Individual
PAIGE B CERVANTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1875 MAIN DR, FAYETTEVILLE, AR 72704-5220
(479) 957-4595
Mailing address
2426 E ONYX TRL APT 5, FAYETTEVILLE, AR 72701-7315
(479) 903-9241
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
200563
AR
Other
Enumeration date
05/20/2019
Last updated
05/10/2023
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