Organization
VANESSA BRINERLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA BRINER M.S., CCC/SLP (PRESIDENT)
(501) 467-0541
Entity
Organization
Contact information
Practice address
1807 W MOLINE ST, MALVERN, AR 72104-2645
(501) 467-3166
Mailing address
413 BAYNE RD, MALVERN, AR 72104-6066
(501) 467-0541
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#2223
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197297742
—
AR
Enumeration date
06/27/2013
Last updated
06/28/2023
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