Individual
SHELLI BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 POINTER TRL W STE E, SUITE E, VAN BUREN, AR 72956-2241
(479) 471-1290
(479) 474-5182
Mailing address
11 POINTER TRL W STE E, SUITE E, VAN BUREN, AR 72956-2241
(479) 471-1290
(479) 474-5182
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1936
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146030721
—
AR
Enumeration date
05/02/2007
Last updated
07/08/2007
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