LAKESIDE PUBLIC SCHOOLS NPI 1639371248

NPI Information

  • NPI: 1639371248
  • Provider Name: LAKESIDE PUBLIC SCHOOLS
  • Classification: Speech-Language Pathologist - 235Z00000X
  • Entity Type: Organization
  • Other Name: LAKESIDE SCHOOL DISTRICT
  • Address: 1110 SOUTH LAKESHORE DRIVE
    LAKE VILLAGE, AR
    ZIP 71653
  • Phone: (870) 367-6848

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NPI Details

LAKESIDE PUBLIC SCHOOLS is a speech language pathologist in Lake Village, 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. LAKESIDE PUBLIC SCHOOLS NPI is 1639371248. The provider is registered as an organization entity type.
The provider Other Name Is Lakeside School District.

The provider's business location address is:

1110 SOUTH LAKESHORE DRIVE
LAKE VILLAGE, AR
ZIP 71653
Phone: (870) 367-6848
Fax: (870) 367-9877

The provider's authorized official is Jeanie Donaldson .
The authorized official title is Mits Supervisor and has the following contact phone number (870) 367-6848.

The enumeration date for this NPI number is 6/5/2007 and was last updated on 7/15/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251300000XLocal Education Agency (LEA)No
2235Z00000XSpeech-Language Pathologist0903ARKANSASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1116592743MEDICAIDARKANSAS

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: 3/30/2025

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