Doctor Name: | JO ELLEN COLVIN |
NPI Number: | 1942385877 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | SP#1989 |
Business Practice Address: | 214 Hope Landing Hwy. 82 East El Dorado, AR - 71730 |
Business Phone Number: | 8708620500 |
Business Fax Number: | 8708622100 |
Mailing Address: | Po Box 10251, EL DORADO |
State: | AR |
Postal Code: | 717300001 |
Phone Number: | 8708620500 |
Fax Number: | 8708622100 |
NPI Enumeration Date: | 10/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP#1989 |
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 |