Individual
MARY HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6705 W 12TH ST, SUITE 3, LITTLE ROCK, AR 72204-1515
(501) 603-9976
(501) 603-9474
Mailing address
6705 W 12TH ST, SUITE 3, LITTLE ROCK, AR 72204-1515
(501) 603-9976
(501) 603-9474
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP3151
AR
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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