Individual
JESSICA LYNN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
500 TIGER BLVD, BENTONVILLE, AR 72712-4208
(479) 254-5000
Mailing address
8300 AUTUMN RUN LN, ROGERS, AR 72756-8080
(417) 846-6749
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP2874
AR
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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