Individual
VIRGINIA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2740 COLLEGE AVE, CONWAY, AR 72034-6141
(501) 329-5459
(501) 327-1738
Mailing address
2740 COLLEGE AVE, CONWAY, AR 72034-6141
(501) 329-5459
(501) 327-1738
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4187
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
217476721
—
AR
Enumeration date
07/12/2016
Last updated
11/13/2018
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