| |
22461 Interstate 30 S Ste 301, Bryant, AR 72022-2382 | |
(501) 847-2555 | |
(501) 847-2250 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center |
Location | 22461 Interstate 30 S Ste 301, Bryant, Arkansas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922681261 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
22461 Interstate 30 S Ste 301, Bryant, AR 72022-2382 Ph: (501) 847-2555 | 22461 Interstate 30 S Ste 301, Bryant, AR 72022-2382 Ph: (501) 847-2555 |