Doctor Name: | MS. CARRIE SUE SHEPHERD |
NPI Number: | 1306000815 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | AT |
License Number: | |
Business Practice Address: | 1300 Highway 9 Morrilton, AR - 721109403 |
Business Phone Number: | 5012085911 |
Business Fax Number: | 5012085912 |
Mailing Address: | 101 Bulldog Dr, PLUMERVILLE |
State: | AR |
Postal Code: | 721278803 |
Phone Number: | 5013542269 |
Fax Number: | 5013540167 |
NPI Enumeration Date: | 07/14/2008 |
NPI Last Update Date: | 09/06/2013 |
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 |