| Doctor Name: | MRS. LESLIE RYAN STALLCUP |
| NPI Number: | 1891920153 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | B.A. MHPP |
| License Number: | |
| Business Practice Address: | 1910 Rector Rd Paragould, AR - 724502004 |
| Business Phone Number: | 8702408500 |
| Business Fax Number: | |
| Mailing Address: | 1805 Hillcrest Dr, PARAGOULD |
| State: | AR |
| Postal Code: | 724504075 |
| Phone Number: | 8702152710 |
| Fax Number: | |
| NPI Enumeration Date: | 05/15/2009 |
| NPI Last Update Date: | 05/15/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |