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JASON FULLER NPI 1073891982


NPI Information

NPI: 1073891982
Provider Name: JASON FULLER

Doing Business As: CLEARLY SPEAKING

Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
1208 W PLEASURE AVE
SEARCY, AR
ZIP 72143
Phone: (501) 230-3916
Get Directions

JASON FULLER is a speech language pathologist in Searcy, AR. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. JASON FULLER NPI is 1073891982. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Clearly Speaking.

The provider's business location address is:

1208 W PLEASURE AVE
SEARCY, AR
ZIP 72143-151
Phone: (501) 230-3916

The provider's authorized official is Jason Fuller .
The authorized official title is Owner/speech Pathologist and has the following contact phone number (501) 230-3916.

The enumeration date for this NPI number is 7/26/2011 and was last updated on 7/26/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language PathologistSP#1372ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1149676742MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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