| Fawnda White, Inc. | |
|
1807 W Moline St, Malvern, AR 72104-2645 | |
| (501) 467-3166 | |
| Not Available |
| Full Name | Fawnda White, Inc. |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 1807 W Moline St, Malvern, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093268914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SP#2214 (Arkansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Fawnda White, Inc. Po Box 669, Bryant, AR 72089-0669 Ph: () - | Fawnda White, Inc. 1807 W Moline St, Malvern, AR 72104-2645 Ph: (501) 467-3166 |
Amber Mccrackin, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14334 Highway 67, Malvern, AR 72104 Phone: 501-332-3694 | |
Mrs. Joy C Amason, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1625 S Main St, Malvern, AR 72104 Phone: 501-337-7622 | |
Diane Odom Wright, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1625 S Main St, Malvern, AR 72104 Phone: 501-332-1808 Fax: 501-337-7846 | |
Mrs. Tammy Michelle Davis, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1425 Potts St, Malvern, AR 72104 Phone: 501-337-7622 | |
Mrs. Fawnda White, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14334 Highway 67, Malvern, AR 72104 Phone: 501-332-3694 | |
Mrs. Tamara Holiman Crutchfield, M.S.,C.C,C,-S.L.P. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1807 W Moline St, Malvern, AR 72104 Phone: 501-467-3166 |