Individual
MRS. ELIZABETH K. BOSCHETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,CFY-SLP
Contact information
Practice address
17706 INTERSTATE 30, SUITE 3, BENTON, AR 72019-2907
(501) 315-4414
(501) 315-3467
Mailing address
2610 CREEKSIDE DR, LITTLE ROCK, AR 72211-4579
(501) 231-0255
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#P8288
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180463721
—
AR
01
—
SP#P8288
ARKANSAS BOARD OF EXAMINERS SPEECH LANGUAGE PATHOLOGY AND AUDIOLOGY
AR
Enumeration date
12/11/2009
Last updated
11/05/2010
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