Mary Lu Fowler Valid NPI

Individual provider · Speech-Language Pathologist · Jacksonville, AR

NPI

1487942397

Type

Individual (Type 1)

Primary specialty

Speech-Language Pathologist

Specialty group

Speech, Language and Hearing Service Providers

Taxonomy code

235Z00000X

License number

SP#P8337 (AR)

Sex

Female

Sole proprietor

No

Enumerated

2011-07-12

Last updated

2011-12-01