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DERMOTT HIGH SCHOOL NPI 1861555005


NPI Information

NPI: 1861555005
Provider Name: DERMOTT HIGH SCHOOL

Doing Business As: DERMOTT SCHOOL DISTRICT

Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization

CLIA Number: 04D2206703

Address:
525 EAST SPEEDWAY
DERMOTT, AR
ZIP 71638
Phone: (870) 538-1000
Get Directions

DERMOTT HIGH SCHOOL is a speech language pathologist in Dermott, 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. DERMOTT HIGH SCHOOL NPI is 1861555005. The provider is registered as an organization entity type.
The provider Is Doing Business As Dermott School District.

The provider's business location address is:

525 EAST SPEEDWAY
DERMOTT, AR
ZIP 71638
Phone: (870) 538-1000

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 CLIA number assigned to this NPI record is 04D2206703 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 7/17/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251300000XLocal Education Agency (LEA)0901ARKANSASNo
2235Z00000XSpeech-Language PathologistLEA0901ARKANSASYes

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
1116399743MEDICAIDARKANSAS
2116599743MEDICAIDARKANSAS

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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