| Organization Name: | FAMILY COUNSELING & DIAGNOSTIC CLINIC |
| NPI Number: | 1184847576 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS HEISLER (OWNER) |
| Mailing Address: | 3998 Highway 1 N Forrest City |
| State: | AR US |
| Postal Code: | 723357637 |
| Phone Number: | 8706331737 |
| Fax Number: | 8706331738 |
| NPI Enumeration Date: | 04/11/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 12763 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| 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 |