Whalio Doctors

NPI 1003082082

Susan Jean Bolls, MSECCCSLP

Practitioner Speech-Language Pathologist Jacksonville, AR

Practice location

Address
9403 Dorsey Rd, Jacksonville, AR 72076-8659
Phone
(501) 988-5809

Registered specialties

Speech-Language Pathologist Primary
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 469 (AR)

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.