Individual
LAURA DERDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
2740 COLLEGE AVENUE, CONWAY, AR 72034-9310
(501) 329-5459
(501) 325-1378
Mailing address
500 TIGER BLVD, BENTONVILLE, AR 72712-4208
(479) 418-7300
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1699
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141423721
—
AR
Enumeration date
01/18/2007
Last updated
01/23/2024
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