ALISA PHOMMAVONG

Speech-Language Pathologist

Active Individual
NPI: 1972891034

Practice Address

3304 S M ST
Fort Smith, AR 72903

Phone: (479) 785-4677

Specialties

Specialty Code Primary License
Speech-Language Pathologist 235Z00000X Yes -

Frequently Asked Questions

NPI 1972891034 is the National Provider Identifier for ALISA PHOMMAVONG, a Speech-Language Pathologist provider located in Fort Smith, AR. This NPI was enumerated on July 11, 2011.
ALISA PHOMMAVONG practices at 3304 S M ST, Fort Smith, AR 72903.

Quick Facts

NPI
1972891034
Type
Individual
Enumerated
Jul 11, 2011
Last Updated
Jul 9, 2024

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