Gina Riley MCD, CCC-SLP

NPI 1346406535 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1346406535
Gender Female
Enumeration Date 08/06/2008
Last Updated 08/06/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
4 BANE LN
CONWAY AR, 72032-9470, US
Phone (501) 796-2018
Fax
Business Location
7 MATTISON DR
VILONIA AR, 72173-9445, US
Phone (501) 796-3561
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Arkansas
License Number SP#1182
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According to our database, Gina Riley MCD, CCC-SLP NPI is 1346406535, taxonomy code is 235Z00000X and license number is SP#1182, license state is located at Arkansas. Gina Riley MCD, CCC-SLP physically located at 4 Bane Ln, Conway AR, 72032-9470. NPI Number Gina Riley MCD, CCC-SLP has the Individual type.

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1346406535 NPI number is provided on an as is basis without warranty of any kind. 1346406535 is maintained by the National Plan & Provider Enumeration System. The contents of Gina Riley MCD, CCC-SLP are for informational purposes only.