MITTIE BERNICE GREENING SPEECH THERAPY ASSIS NPI 1780854620

NPI Information

NPI: 1780854620
Provider Name: MITTIE BERNICE GREENING, SPEECH THERAPY ASSIS
Classification: Specialist/Technologist - 2355S0801X
Entity Type: Individual

Specialization: Speech-Language Assistant

Address:
4 N DOUBLE SPRINGS RD
FARMINGTON, AR
ZIP 72730
Phone: (479) 267-5960
Get Directions

Mittie Bernice Greening, SPEECH THERAPY ASSIS is a speech-language assistant specialist technologist in Farmington, AR. Mittie Bernice Greening, SPEECH THERAPY ASSIS NPI is 1780854620. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4 N DOUBLE SPRINGS RD
FARMINGTON, AR
ZIP 72730-522
Phone: (479) 267-5960
Fax: (479) 267-5965

The enumeration date for this NPI number is 3/6/2008 and was last updated on 3/6/2008.

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
1	2355S0801X	Specialist/Technologist	Speech-Language Assistant	1111	ARKANSAS	Yes

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
1	111	MEDICAID	ARKANSAS

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: 11/14/2023

NPI Synchronization or Removal

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