| Doctor Name: | ENNY CLEAVELAND-ACKLIN |
| NPI Number: | 1003225798 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | SP#P8803 |
| Business Practice Address: | 3131 Tom Austin Hwy Springfield, TN - 371724801 |
| Business Phone Number: | 6153827979 |
| Business Fax Number: | |
| Mailing Address: | 1732 N Garland Ave, FAYETTEVILLE |
| State: | AR |
| Postal Code: | 727032110 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/06/2014 |
| NPI Last Update Date: | 08/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP#P8803 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| 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 |