Kristy Mainer M.S.,CCC-SLP

NPI 1174572325 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1174572325
Gender Female
Enumeration Date 05/08/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2474 E JOYCE BLVD
STE 2
FAYETTEVILLE AR, 72703-4519, US
Phone (479) 521-8326
Fax
Business Location
118 ROB ST
FARMINGTON AR, 72730-3052, US
Phone (479) 238-4637
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Arkansas
License Number 1728
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According to our database, Ms. Kristy Mainer M.S.,CCC-SLP NPI is 1174572325, taxonomy code is 235Z00000X and license number is 1728, license state is located at Arkansas. Kristy Mainer M.S.,CCC-SLP physically located at 2474 E Joyce Blvd, Fayetteville AR, 72703-4519. NPI Number Kristy Mainer M.S.,CCC-SLP has the Individual type.

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1174572325 NPI number is provided on an as is basis without warranty of any kind. 1174572325 is maintained by the National Plan & Provider Enumeration System. The contents of Kristy Mainer M.S.,CCC-SLP are for informational purposes only.