MISS Susan Jean Bolls, MSE,CCC-SLP
NPI #1003082082 in Jacksonville, Arkansas
Provider Information
- NPI Number
- 1003082082
- Entity Type
- Individual
- Name
- MISS Susan Jean Bolls, MSE,CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MSE,CCC-SLP
- Enumeration Date
- Apr 30, 2008
- Last Updated
- Aug 30, 2011
Practice Location
- Address
- 9403 DORSEY RD
- City
- Jacksonville
- State
- Arkansas
- ZIP Code
- 72076-8659
- Phone
- (501) 988-5809
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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