Alisa Phommavong
Alisa Phommavong is a Speech-Language Pathologist in Fort Smith, Arkansas. Practices as a sole proprietor. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
3304 S M StFort Smith, AR 72903-2903
Phone: (479) 785-4677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X |
|---|
Record details
| NPI number | 1972891034 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 11, 2011 |
| Last updated in NPPES | July 9, 2024 |
| Certification date | July 9, 2024 |
| Mailing address | 2007 Sitka Ln, Barling, AR 72923-1526 |
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