Doctor Name: | DEBBIE WALL WALL |
NPI Number: | 1497964332 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP, L-SP |
License Number: | 721 |
Business Practice Address: | 300d South Denver Street Alpena, AR - 726110270 |
Business Phone Number: | 8704372229 |
Business Fax Number: | |
Mailing Address: | Po Box 664, GREEN FOREST |
State: | AR |
Postal Code: | 726380664 |
Phone Number: | 8704386024 |
Fax Number: | |
NPI Enumeration Date: | 05/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 721 |
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 |