Individual
MRS. DANIELLE MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13 MALLORI, GREENBRIER, AR 72058-9258
(501) 765-9121
Mailing address
13 MALLORI, GREENBRIER, AR 72058-9258
(501) 765-9121
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#P8794
AR
Other
Enumeration date
10/03/2014
Last updated
10/03/2014
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