Doctor Name: | CARLENE ANN SANFORD |
NPI Number: | 1003061565 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 400 South Main Suite 500 Healing Hands Therapy Searcy, AR - 72143 |
Business Phone Number: | 5012789904 |
Business Fax Number: | 5012789906 |
Mailing Address: | 400 South Main Suite 500, Healing Hands Therapy SEARCY |
State: | AR |
Postal Code: | 72143 |
Phone Number: | 5012789904 |
Fax Number: | 5012789906 |
NPI Enumeration Date: | 11/25/2008 |
NPI Last Update Date: | 11/10/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |