Wine, Mallory
Wine, Mallory is an sole proprietor health care provider with primary practice located at 824 N Tyler St , Little Rock AR 72205-3535. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Wine, Mallory can be contacted via phone (501) 664-2961.Contact Information
Primary practice address
824 N Tyler St
Little Rock AR 72205-3535
Phone: (501) 664-2961
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 202687 | Arkansas |
Profile Details
| NPI number | 1013758614 |
|---|---|
| LBN Legal business name | Wine, Mallory |
| Credentials | CF, SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 5th, 2024 |
| Last updated | Jun 5th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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