| Doctor Name: | CONNIE WHITBY |
| NPI Number: | 1962863225 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLPA |
| License Number: | R#15-026 |
| Business Practice Address: | 14105 Skyline Dr Alexander, AR - 720021824 |
| Business Phone Number: | 5017652911 |
| Business Fax Number: | 5018976195 |
| Mailing Address: | 14105 Skyline Dr, ALEXANDER |
| State: | AR |
| Postal Code: | 720021824 |
| Phone Number: | 5017652911 |
| Fax Number: | 5018976195 |
| NPI Enumeration Date: | 03/15/2016 |
| NPI Last Update Date: | 03/15/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2355S0801X |
| License Number: | R#15-026 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Specialist/Technologist |
| Taxonomy Specialization: | Speech-Language Assistant |
| Taxonomy Definition: | |