Provider Demographics
NPI:1710189188
Name:JEFFCOAT, CINDY J (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:J
Last Name:JEFFCOAT
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5583 AMBER CIR N
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72015-8815
Mailing Address - Country:US
Mailing Address - Phone:501-778-1115
Mailing Address - Fax:
Practice Address - Street 1:5583 AMBER CIR N
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:AR
Practice Address - Zip Code:72015-8815
Practice Address - Country:US
Practice Address - Phone:501-778-1115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1919235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist