NPI 1003082082
Susan Jean Bolls, MSECCCSLP
Practice location
- Address
- 9403 Dorsey Rd, Jacksonville, AR 72076-8659
- Phone
- (501) 988-5809
Registered specialties
Speech-Language Pathologist
Primary
Registry record
- NPI
- 1003082082
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 30 Apr 2008
- Record last updated
- 30 Aug 2011
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.