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CONWAY PUBLIC SCHOOLS #01 NPI 1245392752


NPI Information

NPI: 1245392752
Provider Name: CONWAY PUBLIC SCHOOLS #01
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization

CLIA Number: 04D2198540

Address:
1902 HAIRSTON ST
CONWAY, AR
ZIP 72034
Phone: (501) 450-6634
Get Directions

CONWAY PUBLIC SCHOOLS #01 is a speech language pathologist in Conway, 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. CONWAY PUBLIC SCHOOLS #01 NPI is 1245392752. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1902 HAIRSTON ST
CONWAY, AR
ZIP 72034-227
Phone: (501) 450-6634
Fax: (501) 450-4862

The provider's authorized official is Charlotte Vann .
The authorized official title is Director Of Special Education and has the following contact phone number (501) 450-6634.

The CLIA number assigned to this NPI record is 04D2198540 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/14/2006 and was last updated on 12/16/2013.


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
1163WS0200XRegistered NurseSchoolNo
2313M00000XNursing Facility/Intermediate Care FacilityARKANSASNo
3251300000XLocal Education Agency (LEA)No
4235Z00000XSpeech-Language PathologistYes

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
1116042743MEDICAIDARKANSAS
2118688761MEDICAIDARKANSAS

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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