Doctor Name: | ALLISON LANDERS |
NPI Number: | 1558425777 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | SP # 1285 |
Business Practice Address: | 216 Main St Lake Village, AR - 716531916 |
Business Phone Number: | 8702653950 |
Business Fax Number: | 8702652525 |
Mailing Address: | 216 Main St, LAKE VILLAGE |
State: | AR |
Postal Code: | 716531916 |
Phone Number: | 8702653950 |
Fax Number: | 8702652525 |
NPI Enumeration Date: | 12/21/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP # 1285 |
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 |