| Doctor Name: | MR. RICHARD KENNETH BOARDMAN |
| NPI Number: | 1508049750 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S. CCC-SLP |
| License Number: | SP#1764 |
| Business Practice Address: | 129 E Poplar St Clarksville, AR - 728304212 |
| Business Phone Number: | 4794623528 |
| Business Fax Number: | 4797540384 |
| Mailing Address: | Po Box 1339, CLARKSVILLE |
| State: | AR |
| Postal Code: | 728301339 |
| Phone Number: | 4796481888 |
| Fax Number: | 4796481999 |
| NPI Enumeration Date: | 12/11/2007 |
| NPI Last Update Date: | 06/13/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP#1764 |
| 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 |