Individual
PHYLLIS GEHLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
74 CLEBURNE PARK RD, HEBER SPRINGS, AR 72543-9106
(501) 362-0943
Mailing address
74 CLEBURNE PARK RD, HEBER SPRINGS, AR 72543-9106
(501) 362-0943
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP876
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125462721
—
AR
Enumeration date
04/29/2008
Last updated
04/29/2008
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