Whalio Doctors

NPI 1063674570

Arkansas Therapy Source, LLC

Organisation Speech-Language Pathologist Benton, AR

Practice location

Address
116 Valderrama Dr, Benton, AR 72015-8971
Phone
(501) 249-8649
Fax
(501) 315-0847

Authorised official

Name
Jennifer Christy Rogers
Title
Owener
Phone
(501) 249-8649

Registered specialties

Speech-Language Pathologist Primary
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence SP2309 (AR)

Registry record

NPI
1063674570
Entity type
Organization
NPI issued
26 Jun 2008
Record last updated
26 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.