Doctor Name: | MS. CINNAMON ANNE KING |
NPI Number: | 1124127204 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 2288 |
Business Practice Address: | 1500 Museum Rd Ste 104 Conway, AR - 720324761 |
Business Phone Number: | 5013293804 |
Business Fax Number: | 5013290718 |
Mailing Address: | 480 Whitney Woods Rd, CONWAY |
State: | AR |
Postal Code: | 720348643 |
Phone Number: | 5015058109 |
Fax Number: | 5014502239 |
NPI Enumeration Date: | 09/22/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2288 |
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 |