Organization
BOARDMAN SPEECH PATHOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD K BOARDMAN (OWNER/PRESIDENT)
(479) 462-3528
Entity
Organization
Contact information
Practice address
129 E POPLAR ST, CLARKSVILLE, AR 72830-4212
(479) 462-3528
(479) 754-0384
Mailing address
PO BOX 1339, CLARKSVILLE, AR 72830-1339
(479) 462-3528
(479) 754-0384
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1764
AR
Other
Enumeration date
03/07/2012
Last updated
08/16/2016
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