Individual
MRS. LAURA BETH RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
1900 STILLWATER DR, JONESBORO, AR 72404-9119
(870) 932-3600
(870) 932-3611
Mailing address
1900 STILLWATER DR, JONESBORO, AR 72404-9119
(870) 932-3600
(870) 932-3611
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#2203
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152712721
—
AR
01
—
5Y018
BLUE CROSS
AR
Enumeration date
01/25/2007
Last updated
07/20/2011
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