Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stacie Michelle Cornwell, MSED

Individual provider Developmental Therapist · NPI 1255868774

Stacie Michelle Cornwell, MSED is a Developmental Therapist in Benton, Arkansas. Registered with an NPI since 2017.

In the registry since
2017
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Practice location Address checks out

1306 Military Rd Ste 1
Benton, AR 72015-2732
Phone: (501) 481-8930
Fax: (501) 408-4699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X

Record details

NPI number1255868774
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSED
Sole proprietorNo
NPI enumeratedMay 15, 2017
Last updated in NPPESMay 15, 2017

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