Provider Demographics
NPI:1245545250
Name:SELLARS, MARGARETTE ANNE (MS)
Entity type:Individual
Prefix:MRS
First Name:MARGARETTE
Middle Name:ANNE
Last Name:SELLARS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 CRYSTAL VW
Mailing Address - Street 2:
Mailing Address - City:VAN BUREN
Mailing Address - State:AR
Mailing Address - Zip Code:72956-9056
Mailing Address - Country:US
Mailing Address - Phone:479-414-8912
Mailing Address - Fax:
Practice Address - Street 1:401 N 19TH ST
Practice Address - Street 2:
Practice Address - City:VAN BUREN
Practice Address - State:AR
Practice Address - Zip Code:72956-4617
Practice Address - Country:US
Practice Address - Phone:479-474-2661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-13
Last Update Date:2010-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist