Individual
BRITTNEY MARIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
435 W CENTERTON BLVD, CENTERTON, AR 72719-8701
(479) 795-1260
Mailing address
4005 SW SYCAMORE ST, BENTONVILLE, AR 72712-7582
(479) 254-8639
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1955
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12025087
ASHA
AR
01
—
1955
ARKANSAS BOARD OF EXAMINERS IN SPEECH-LANGUAGE PATHOLOGY
AR
Enumeration date
07/30/2008
Last updated
07/30/2008
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