| Doctor Name: | MS. STACY ANN BURRALL |
| NPI Number: | 1164683504 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., CCC-SLP |
| License Number: | SP1123 |
| Business Practice Address: | 5240 Mabelvale Pike Little Rock, AR - 722091961 |
| Business Phone Number: | 5014474834 |
| Business Fax Number: | 5014474801 |
| Mailing Address: | 810 W Markham St, LITTLE ROCK |
| State: | AR |
| Postal Code: | 722011306 |
| Phone Number: | 5014471000 |
| Fax Number: | 5014474801 |
| NPI Enumeration Date: | 06/18/2008 |
| NPI Last Update Date: | 06/19/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP1123 |
| 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 |