Mccully, Lesli Bacon

Mccully, Lesli Bacon is an sole proprietor health care provider with primary practice located at 610 S Avalon St , West Memphis AR 72301-4109. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Mccully, Lesli Bacon can be contacted via phone (870) 400-3481.

Contact Information

Primary practice address
610 S Avalon St West Memphis AR 72301-4109
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP8000 Arkansas

Profile Details

NPI number 1982808945
LBN Legal business name Mccully, Lesli Bacon
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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