Most Relevant Information
Provider Data
| NPI Number: | 1003225798 |
| Provider Name: | ENNY CLEAVELAND-ACKLIN |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SP#P8803 |
Most Important Dates
| Enumeration Date: | 08/06/2014 |
| Last Updated: | 08/06/2014 |
Provider Practice Location
3131 TOM AUSTIN HWY
SPRINGFIELD
TN
371724801
Practice Location Phone/Fax
| Phone: | 6153827979 |
| Fax: |
Provider Mailing Location
1732 N GARLAND AVE
FAYETTEVILLE
AR
727032110
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |