MS. Mattie Ivy, SLP
NPI #1689882995 in Forrest City, Arkansas
Provider Information
- NPI Number
- 1689882995
- Entity Type
- Individual
- Name
- MS. Mattie Ivy, SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- SLP
- Enumeration Date
- May 18, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 724 PARK ST
- City
- Forrest City
- State
- Arkansas
- ZIP Code
- 72335-4823
- Phone
- (870) 633-4366
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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