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THERAPY SERVICES OF NORTHWEST ARKANSAS LLC NPI 1639440324


NPI Information

NPI: 1639440324
Provider Name: THERAPY SERVICES OF NORTHWEST ARKANSAS, LLC
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
1004 S MAIN ST
BERRYVILLE, AR
ZIP 72616
Phone: (870) 654-3869
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THERAPY SERVICES OF NORTHWEST ARKANSAS, LLC is a speech language pathologist in Berryville, 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. THERAPY SERVICES OF NORTHWEST ARKANSAS, LLC NPI is 1639440324. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1004 S MAIN ST
BERRYVILLE, AR
ZIP 72616-330
Phone: (870) 654-3869
Fax: (870) 505-2016

The provider's authorized official is Tricia Lynnette George .
The authorized official title is Owner/operator and has the following contact phone number (870) 654-3869.

The enumeration date for this NPI number is 1/26/2012 and was last updated on 4/27/2022.


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
1225X00000XOccupational TherapistNo
2224Z00000XOccupational Therapy AssistantNo
3225100000XPhysical TherapistNo
4225200000XPhysical Therapy AssistantNo
5235Z00000XSpeech-Language PathologistSP#1969ARKANSASYes

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
1191773742MEDICAIDARKANSAS

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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