| Doctor Name: | MRS. MISTY C RAY |
| NPI Number: | 1720196595 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BS |
| License Number: | SP2352 |
| Business Practice Address: | 121 Cox St Benton, AR - 720154611 |
| Business Phone Number: | 5017760691 |
| Business Fax Number: | 5017760692 |
| Mailing Address: | 15103 Alexander Rd, ALEXANDER |
| State: | AR |
| Postal Code: | 720021512 |
| Phone Number: | 5012596999 |
| Fax Number: | 5014078053 |
| NPI Enumeration Date: | 08/29/2006 |
| NPI Last Update Date: | 09/15/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP2352 |
| 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 |