Individual
KRISTIE RENEE PARROTT-BRUNNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2793 N STAGECOACH DR, FAYETTEVILLE, AR 72703-3745
(479) 444-9208
Mailing address
2793 N STAGECOACH DR, FAYETTEVILLE, AR 72703-3745
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1940
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155528721
—
AR
Enumeration date
02/27/2007
Last updated
04/22/2008
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